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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAUREN BROADUS
NPI 1700792892
Physician Assistant in Crestview, FL

Active since August 20, 2026PECOS Enrolled
350 REDSTONE AVE W, CRESTVIEW, FL 32536(850) 689-1740(850) 682-6652 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 7, 2026, Sep 25, 2026, Sep 1, 2026 and 1 more (4 updates tracked since 2026).

About Lauren Broadus NPPES

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

LAUREN BROADUS (NPI 1700792892) is an individual physician assistant in Crestview, Florida and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700792892
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN BROADUS
Location Address350 REDSTONE AVE WCrestview, FL 32536-6433
Mailing Address350 Redstone Ave WCrestview, FL 32536-6433 · (850) 689-1740 · Fax (850) 682-6652
Phone(850) 689-1740
Fax(850) 682-6652
Sole ProprietorNo
Enumeration DateAugust 20, 2026
Last NPPES UpdateOctober 7, 20264 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1700792892 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.
350 REDSTONE AVE W, Crestview, FL 32536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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)

Lauren Broadus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32536 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 8

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

MRS. ASHLEY C WAGNER PA
Physician Assistant (Medical)
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 689-1740
HEATHER T BIEN PA
Physician Assistant
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 689-1740
DANIELLE H CADY DNP, ACNP-BC, APRN
Nurse Practitioner
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 689-1740
EMERALD COAST DERMATOLOGY & SKIN SURGERY CENTER PA
Dermatology
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 689-1740
LIZA ANN HOOKS APRN
Nurse Practitioner
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 689-1740
MRS. SANDRA ELIZABETH WILSON PA
Physician Assistant (Medical)
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 689-1740
DR. CHARLES F TRAPP MD
Dermatology
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 689-1740
DR. KARA TRAPP REARDON M.D.
Dermatology
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 689-1740

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 Broadus's NPI number?

The NPI number for Lauren Broadus is 1700792892. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Lauren Broadus located?

Lauren Broadus practices at 350 Redstone Ave W, Crestview, FL 32536. The listed phone number is (850) 689-1740.

What is Lauren Broadus's specialty?

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

Is Lauren Broadus enrolled in Medicare?

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

What insurance does Lauren Broadus accept?

Health plans from Ambetter Health and Ambetter of Alabama list Lauren Broadus 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 Lauren Broadus was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.