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TAMARA LYNN BROADHEAD APRN
NPI 1124548789
Nurse Practitioner - Psychiatric/Mental Health in South Jordan, UT

Active since June 26, 2017PECOS EnrolledAccepts Medicare Assignment
10294 S ROYAL VISTA CV, SOUTH JORDAN, UT 84095(817) 319-9475 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2022, Jul 21, 2022, Jul 13, 2017 and 1 more (4 updates tracked since 2017).

About Tamara Lynn Broadhead Aprn NPPES

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

TAMARA LYNN BROADHEAD APRN (NPI 1124548789) is an individual psychiatric/mental health provider in South Jordan, Utah, licensed in Utah (7096258-4405) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124548789
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTAMARA LYNN BROADHEADCredential: APRN
Location Address10294 S ROYAL VISTA CVSouth Jordan, UT 84095-3045
Mailing Address10294 S Royal Vista CvSouth Jordan, UT 84095-3045 · (817) 319-9475
Phone(817) 319-9475
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 26, 2017
Last NPPES UpdateSeptember 28, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1124548789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 7096258-4405
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 7096258-4405 (UT)
10294 S ROYAL VISTA CV, South Jordan, UT 84095
Open in Google Maps ↗

Other Names 1

Former Name (1)Tamara Lynn Oldroyd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Providence Health Plan and more.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

Tamara Lynn Broadhead Aprn 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 ID4183981665
PECOS Enrollment IDI20171208002076
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 84095 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
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tamara Broadhead's NPI number?

The NPI number for Tamara Broadhead is 1124548789. It was assigned to this individual provider in the NPPES registry on June 26, 2017. The provider is also known as Tamara Lynn Oldroyd.

Where is Tamara Broadhead located?

Tamara Broadhead practices at 10294 S Royal Vista Cv, South Jordan, UT 84095. The listed phone number is (817) 319-9475.

What is Tamara Broadhead's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tamara Broadhead enrolled in Medicare?

Yes. Tamara 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.

What insurance does Tamara Broadhead accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Tamara Broadhead 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 Tamara Broadhead was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.