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MS. TAEJA BROADWATER PA-C
NPI 1114152329
Physician Assistant - Surgical in Danville, PA

Active since May 18, 2009PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY DRIVE, DANVILLE, PA 17822(570) 271-5555 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Taeja Broadwater Pa-c NPPES

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

MS. TAEJA BROADWATER PA-C (NPI 1114152329) is an individual surgical provider in Danville, Pennsylvania, licensed in Pennsylvania (MAO55689) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114152329
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. TAEJA BROADWATERCredential: PA-C
Location AddressGEISINGER MEDICAL CTR, 100 NORTH ACADEMY DRIVEDanville, PA 17822-0001
Mailing Address1015 Clifton DrBloomsburg, PA 17815-3083 · (304) 673-9476
Phone(570) 271-5555
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 18, 2009
Last NPPES UpdateSeptember 27, 2013
✔ NPI 1114152329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MAO55689
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License R185137 (MD)
GEISINGER MEDICAL CTR, Danville, PA 17822
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sendero Health Plans, Local Nonprofit.Insurance ›

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

Ms. Taeja Broadwater 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 ID1052562386
PECOS Enrollment IDI20230109001648
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

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.

MS. BARBARA LYNN BROWN PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6672
DR. ADAM RENNARD GROSS PHARMD
Pharmacist (Pharmacotherapy)
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6753
DR. AMY MARIE STROMAN PHARM.D.
Pharmacist (Pharmacotherapy)
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6672
DR. MILANA MOR M.D.
Student in an Organized Health Care Education/Training Program
GEISINGER MEDICAL CTR, 100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
JACLYN MARCEL M.S.
Student in an Organized Health Care Education/Training Program
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6211
MR. ROBERTO VIELMA JR. M.S.
Student in an Organized Health Care Education/Training Program
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
ANDREW VERES
Student in an Organized Health Care Education/Training Program
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
ELIZABETH ANNE YAKAITIS D.O.
Student in an Organized Health Care Education/Training Program
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 Taeja Broadwater's NPI number?

The NPI number for Taeja Broadwater is 1114152329. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Taeja Broadwater located?

Taeja Broadwater practices at Geisinger Medical Ctr 100 North Academy Drive, Danville, PA 17822. The listed phone number is (570) 271-5555.

What is Taeja Broadwater's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Taeja Broadwater enrolled in Medicare?

Yes. Taeja Broadwater 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.

What insurance does Taeja Broadwater accept?

Health plans from Sendero Health Plans, Local Nonprofit list Taeja Broadwater as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taeja Broadwater was last updated on September 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.