Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Mae Broughton

Individual provider Family Nurse Practitioner · NPI 1154896801

Angela Mae Broughton is a Nurse Practitioner in Mitchell, South Dakota. Qualified in 2018, 8 years ago. Practices with Avera Queen of Peace, a 115-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
8
Licensed in
SD
In the registry since
2018

Practice location Address checks out

1900 Grassland Dr
Mitchell, SD 57301-6205
Phone: (605) 995-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CP001468 (SD)

Record details

NPI number1154896801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2018
Last updated in NPPESOctober 9, 2018
Mailing address1900 Grassland Dr, Mitchell, SD 57301-6205

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Avera Queen Of Peace — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mitchell