1. Home
  2. Directory
  3. Minnesota
  4. Bloomington
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN BROKSIECK PA-C
NPI 1508725102
Physician Assistant in Bloomington, MN

Active since January 19, 2026PECOS Enrolled
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435(952) 767-4574 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Jun 3, 2026, Jan 19, 2026 (3 updates tracked since 2026).

About Lauren Broksieck Pa-c NPPES

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

LAUREN BROKSIECK PA-C (NPI 1508725102) is an individual physician assistant in Bloomington, Minnesota and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2026).

NPPES Registry Identity

NPI1508725102
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN BROKSIECKCredential: PA-C
Location Address4300 MARKET PTE DR STE 100Bloomington, MN 55435-5435
Mailing Address4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435 · (952) 767-4574
Phone(952) 767-4574
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2026
Enumeration DateJanuary 19, 2026
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1508725102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4300 MARKET PTE DR STE 100, Bloomington, MN 55435
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Broksieck Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163987587
PECOS Enrollment IDI20260716002725
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 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

MICHAEL CHARLES LICK
Physician Assistant
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (457) 495-2767
DR. CHARLES HIGGINS BROWER MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
ZACHARY TAYLOR DO
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
DR. TONY KONG VANG MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
BRIAN BRISTOL DO
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
LAUREN DEGN PA-C
Physician Assistant
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
JORDAN SELL MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
LEAH KRISTINE MORGAN MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574

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 Lauren Broksieck's NPI number?

The NPI number for Lauren Broksieck is 1508725102. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Lauren Broksieck located?

Lauren Broksieck practices at 4300 Market Pte Dr Ste 100, Bloomington, MN 55435. The listed phone number is (952) 767-4574.

What is Lauren Broksieck's specialty?

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

Is Lauren Broksieck enrolled in Medicare?

Yes. Lauren Broksieck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Broksieck was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.