SIOBHAN ASSOON-BROADY DNP-PNP - NPI 1689233652 - Nurse Practitioner in Las Vegas, NV

Q: What is Siobhan Assoon-broady's NPI number?

The NPI number for Siobhan Assoon-broady is 1689233652. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Q: What is Siobhan Assoon-broady's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

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About Siobhan Assoon-broady Dnp-pnp NPPES

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

SIOBHAN ASSOON-BROADY DNP-PNP (NPI 1689233652) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (APRN-CNP817771) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of University Of Arizona College Of Medicine (2019).

NPPES Registry Identity

NPI1689233652

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSIOBHAN ASSOON-BROADYCredential: DNP-PNP

Location Address3201 S MARYLAND PKWY STE 608Las Vegas, NV 89109-2428

Mailing Address3201 S Maryland Pkwy Ste 608Las Vegas, NV 89109-2428 · (702) 457-5437 · Fax (702) 464-5801

Phone(702) 457-5437

Fax(702) 464-5801

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2019

Enumeration DateJune 12, 2019

Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1689233652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NV · APRN-CNP817771

3201 S MARYLAND PKWY STE 608, Las Vegas, NV 89109

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Secondary Practice Location 1

Location 1880 Seven Hills Dr Ste 100Henderson, NV 89052-4372 · Phone (702) 457-5437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Siobhan Assoon-broady Dnp-pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42705097

PECOS Enrollment IDI20251217004160

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 89109 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Other Providers at the Same Location NPPES 13

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

SORA SONG MD

Pediatrics