Doctor profile · Federal record
Dr. Kelly Broederdorf, Registered Nurse
Nurse Practitioner · Oncology Registered Nurse · Family Nurse Practitioner · Woodstock, IL
- NPI 1952023459
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3707 Doty RD Ste Candd
Woodstock, IL 600987530
(815) 338-6600
fax (815) 206-1086 - Additional location
-
100 Village Grn Ste 120
Lincolnshire, IL 600693095
(847) 634-1766
fax (847) 634-2894
Credentials & registration
- NPI registered
- September 2022 — 4 yrs on file
- Profile last updated
- June 10, 2024
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (3)
- Illinois #209027210 · Illinois #041.387373 · Illinois #209-027210
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952023459. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
27
Distinct HCPCS
2
Medicare allowed
$2,457
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 15 | $105 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $74 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 55. This provider delivers 0.5× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Kelly Broederdorf's medical specialty?
Dr. Kelly Broederdorf practices Nurse Practitioner in Woodstock, IL.
Where does Dr. Kelly Broederdorf practice?
Dr. Kelly Broederdorf practices at 3707 Doty RD Ste Candd, Woodstock, IL 600987530. Office phone: 8153386600.
What is Dr. Kelly Broederdorf's NPI?
Dr. Kelly Broederdorf's National Provider Identifier (NPI) is 1952023459, issued by NPPES.
Does Dr. Kelly Broederdorf accept Medicare assignment?
Yes. Dr. Kelly Broederdorf accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Broederdorf commonly perform?
Top Medicare-reported procedures in 2023: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.