ELYSE RENEE BROUCEK
NPI 1770180960
Physician Assistant in Phoenix, AZ
About Elyse Renee Broucek NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELYSE RENEE BROUCEK (NPI 1770180960) is an individual physician assistant in Phoenix, Arizona and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Elyse Renee Broucek 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
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 Elyse Broucek's NPI number?
The NPI number for Elyse Broucek is 1770180960. It was assigned to this individual provider in the NPPES registry on October 1, 2020.
Where is Elyse Broucek located?
Elyse Broucek practices at 4045 E Bell Rd Ste 125, Phoenix, AZ 85032. The listed phone number is (602) 971-0268.
What is Elyse Broucek's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Elyse Broucek enrolled in Medicare?
Yes. Elyse Broucek 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 Elyse Broucek accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Elyse Broucek 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 Elyse Broucek was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Elyse Renee Broucek · NPI 1770180960
Physician Assistant physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since October 1, 2020.
## Identity
- **NPI:** 1770180960 (Entity type: Individual)
- **Enumerated:** October 1, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4045 E BELL RD STE 125, Phoenix, AZ 85032-2238
- **Phone:** (602) 971-0268
## 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 2020
## Record status
- **NPPES last updated:** February 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770180960) · Data from the CMS NPPES public registry.