NICHOLAS JOHN BROOM PA-C
NPI 1518779917
Physician Assistant - Surgical in Basalt, CO
About Nicholas John Broom Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS JOHN BROOM PA-C (NPI 1518779917) is an individual surgical provider in Basalt, Colorado and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Nicholas John Broom 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicholas Broom's NPI number?
The NPI number for Nicholas Broom is 1518779917. It was assigned to this individual provider in the NPPES registry on January 22, 2025.
Where is Nicholas Broom located?
Nicholas Broom practices at 200 Robinson St, Basalt, CO 81621. The listed phone number is (970) 476-1100.
What is Nicholas Broom's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Nicholas Broom enrolled in Medicare?
Yes. Nicholas Broom 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 Nicholas Broom was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Nicholas John Broom, PA-C · NPI 1518779917
Surgical physician in Basalt, Colorado. Individual provider, active in the CMS NPPES registry since January 22, 2025.
## Identity
- **NPI:** 1518779917 (Entity type: Individual)
- **Enumerated:** January 22, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 200 ROBINSON ST, Basalt, CO 81621-8472
- **Phone:** (970) 476-1100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1518779917) · Data from the CMS NPPES public registry.