MARY E BROUGHTON PA-C
NPI 1487844734
Physician Assistant - Medical in Crystal, MN

Active since August 01, 2007PECOS EnrolledAccepts Medicare Assignment
5109 36TH AVE N, CRYSTAL, MN 55422(763) 587-7900(763) 587-7989 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2022, Oct 20, 2020, May 14, 2019 (3 updates tracked since 2019).

About Mary E Broughton Pa-c NPPES

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

MARY E BROUGHTON PA-C (NPI 1487844734) is an individual medical provider in Crystal, Minnesota, licensed in Minnesota (10288) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1487844734
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY E BROUGHTONCredential: PA-C
Location Address5109 36TH AVE NCrystal, MN 55422-2007
Mailing Address9201 W Broadway Ave Ste 601Brooklyn Park, MN 55445-1924 · (763) 587-7900 · Fax (763) 587-7066
Fax(763) 587-7989
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 1, 2007
Last NPPES UpdateNovember 7, 20223 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
NPI 1487844734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MN · 10288
5109 36TH AVE N, Crystal, MN 55422

Accepted 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

Mary E Broughton 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 ID9830284421
PECOS Enrollment IDI20070927000290
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.

Areas of Expertise CMS Part B claims 32

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
381 services117 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
303 services110 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
224 services104 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
185 services96 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services64 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
84 services45 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims34 services$5.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Physician Assistant
5109 36TH AVE N
CRYSTAL, MN 55422
Obstetrics & Gynecology
5109 36TH AVE N
CRYSTAL, MN 55422
Non-Pharmacy Dispensing Site
5109 36TH AVE N
CRYSTAL, MN 55422
Nurse Practitioner (Women's Health)
5109 36TH AVE N
CRYSTAL, MN 55422
Family Medicine
5109 36TH AVE N
CRYSTAL, MN 55422
Internal Medicine
5109 36TH AVE N
CRYSTAL, MN 55422
Physician Assistant
5109 36TH AVE N
CRYSTAL, MN 55422
Family Medicine
5109 36TH AVE N
CRYSTAL, MN 55422

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 Mary Broughton's NPI number?

The NPI number for Mary Broughton is 1487844734. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Mary Broughton located?

Mary Broughton practices at 5109 36th Ave N, Crystal, MN 55422. The listed phone number is (763) 587-7900.

What is Mary Broughton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Broughton enrolled in Medicare?

Yes. Mary Broughton 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 Mary Broughton accept?

Health plans from HealthPartners and Medica list Mary Broughton 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.

Is Mary Broughton affiliated with any hospitals?

According to CMS data, Mary Broughton is affiliated with North Memorial Health Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Mary Broughton was last updated on November 7, 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.