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

Rachelle Patrice Broomer

Individual provider Emergency Registered Nurse · NPI 1891493730

Rachelle Patrice Broomer is a Nurse Practitioner in Fort Lauderdale, Florida. Qualified in 2023, 3 years ago. Practices with Senior Living Memory Health Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4947 N Harbor Isles Dr
Fort Lauderdale, FL 33312-5918
Phone: (516) 242-4505
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11002521 (FL)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 9431961 (FL)

Record details

NPI number1891493730
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 20, 2023
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Senior Living Memory Health Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Lauderdale