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MRS. CASSIE K BROADHEAD PA-C
NPI 1083087944
Physician Assistant in Provo, UT

Active since November 01, 2015PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Nov 21, 2015 (2 updates tracked since 2015).

About Mrs. Cassie K Broadhead Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CASSIE K BROADHEAD PA-C (NPI 1083087944) is an individual physician assistant in Provo, Utah, licensed in Utah (9537931-1206) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Payson, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083087944
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CASSIE K BROADHEADCredential: PA-C
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · Fax (801) 418-0941
Phone(801) 357-3367
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 1, 2015
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1083087944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in UT · 9537931-1206✔ Licensed in WY · PT654
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1034 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Location 1

Location 197 Professional Way, Ste 2Payson, UT 84651-1614 · Phone (801) 465-4896 · Fax (801) 465-4107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Cassie K Broadhead Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062712557
PECOS Enrollment IDI20151207000869
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassie Broadhead's NPI number?

The NPI number for Cassie Broadhead is 1083087944. It was assigned to this individual provider in the NPPES registry on November 1, 2015.

Where is Cassie Broadhead located?

Cassie Broadhead practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-3367.

What is Cassie Broadhead's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cassie Broadhead enrolled in Medicare?

Yes. Cassie Broadhead is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Cassie Broadhead was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.