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JENNIFER LAURA BROADT PA
NPI 1962869776
Physician Assistant in Tieton, WA

Active since January 25, 2016PECOS EnrolledAccepts Medicare Assignment
915 WISCONSIN AVE, TIETON, WA 98947(509) 673-0044(509) 673-0054 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2016, Jan 25, 2016 (2 updates tracked since 2016).

About Jennifer Laura Broadt Pa NPPES

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

JENNIFER LAURA BROADT PA (NPI 1962869776) is an individual physician assistant in Tieton, Washington, licensed in Washington (PA60703623) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962869776
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER LAURA BROADTCredential: PA
Location Address915 WISCONSIN AVETieton, WA 98947-9802
Mailing Address501 S 5th AveYakima, WA 98902-3550 · (509) 494-6700 · Fax (509) 573-6275
Phone(509) 673-0044
Fax(509) 673-0054
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 25, 2016
Last NPPES UpdateDecember 5, 20162 updates tracked since enumeration
✔ NPI 1962869776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA60703623
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.
915 WISCONSIN AVE, Tieton, WA 98947
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Other Identifiers 5

Other47272ZSJCTX · Medicare
OtherP01610841TX · Railroad Medicare
Other354348002TX · Cshcn Medicaid
Other8860NUTX · Solo Bcbs
Medicaid354348001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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

Jennifer Laura Broadt Pa 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.

PECOS PAC ID2062716004
PECOS Enrollment IDI20161216001842
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 98947 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 2

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

SANDRA BENAVIDES-VAELLO APRN, FNP
Nurse Practitioner
915 WISCONSIN AVE
TIETON, WA 98947
Yakima County (509) 673-0044
ONYINYE IJEOMA AMANARI ARNP
Nurse Practitioner (Family)
915 WISCONSIN AVE
TIETON, WA 98947
Yakima County (509) 673-0044

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 Jennifer Broadt's NPI number?

The NPI number for Jennifer Broadt is 1962869776. It was assigned to this individual provider in the NPPES registry on January 25, 2016.

Where is Jennifer Broadt located?

Jennifer Broadt practices at 915 Wisconsin Ave, Tieton, WA 98947. The listed phone number is (509) 673-0044.

What is Jennifer Broadt's specialty?

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

Is Jennifer Broadt enrolled in Medicare?

Yes. Jennifer Broadt 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 Jennifer Broadt accept?

Health plans from PacificSource Health Plans list Jennifer Broadt 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 Jennifer Broadt was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.