GRETCHEN A BROECKER, MS, RD, CDE — NPI 1164675013 (Licensed & Credentialed Nutritionist, Nutrition, Education in FRISCO, CO)

CMS-1500 Box 24J / 33a • NPI

1164675013

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

133NN1002X

Licensed & Credentialed Nutritionist, Nutrition, Education

Box 32 Service Location & ZIP+4

360 PEAK ONE DRIVE, STE 260, FRISCO, CO, 80443-0000

✓ 9-Digit EDI 837 ZIP+4 (80443-0000)

Practice Phone & Referral Fax

(970) 668-5584

Fax: (970) 262-2196

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164675013 (GRETCHEN A BROECKER, MS, RD, CDE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164675013` (NPI-1 Individual Practitioner)
Provider / Legal Name	GRETCHEN A BROECKER, MS, RD, CDE
Plain-English Specialty	Licensed & Credentialed Nutritionist, Nutrition, Education NUCC Code: `133NN1002X` (Nutritionist, Nutrition, Education)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	360 PEAK ONE DRIVE, STE 260, FRISCO, CO, 80443-0000
Practice Telephone / Fax	Tel: (970) 668-5584 \| Fax: (970) 262-2196
Administrative Mailing Address	360 PEAK ONE DR 390, FRISCO, CO, 80443
Enumeration & Last Sync	Enumerated: 2008-10-23 \| CMS Record Updated: 2025-01-29

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

360 PEAK ONE DRIVE, STE 260, FRISCO, CO, 80443-0000

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Plain-English Taxonomy & CMS Crosswalk (133NN1002X)

What Does Taxonomy Code 133NN1002X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133NN1002X translates to:
"Licensed & Credentialed Nutritionist, Nutrition, Education"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nutritionist, Nutrition, Education for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GRETCHEN A BROECKER, MS, RD, CDE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133NN1002X` — Nutritionist, Nutrition, Education Plain English: Licensed & Credentialed Nutritionist, Nutrition, Education	State: CO \| License: `885627` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GRETCHEN A BROECKER, MS, RD, CDE (NPI #1164675013)