Taeja Broadwater, PA-C
Surgical Physician Assistant · Danville, PA
Taeja Broadwater, PA-C is a surgical physician assistant with a practice address in Danville, Pennsylvania, and NPI 1114152329, issued on May 18, 2009. Check the license (Pennsylvania MAO55689, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Taeja Broadwater
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License numbers
- MAO55689 PA
R185137 MD
Self-reported in NPPES; status is on the state search - Practice location
- Geisinger Medical Ctr, Danville, PA 17822
- Phone
- (570) 271-5555
- Enumerated
- May 18, 2009
- Record last updated
- Sep 27, 2013 (not updated in 13 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20230109001648); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 832 in Pennsylvania → Look up another NPI →
Also registered at Geisinger Medical Ctr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Blake BloxhamStudent in an Organized Health Care Education/Training Program1770909293
- Barbara Brown, PHARM.D.Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1154578706
- Ian Butterwick, M.S.Student in an Organized Health Care Education/Training Program1003231564
- Christopher Coppola, M.D.Pediatric Surgery Physician1952389082
- Evan CroweEmergency Medicine Physician1679968713
- Craig DixEmergency Medicine Physician1972038677
Verify Taeja Broadwater in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license MAO55689Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 74.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Carbon Health Medical Group OF Florida PAAtascocita, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Taeja Broadwater among 832 surgical physician assistant records in Pennsylvania
Taeja Broadwater, PA-C is one of 832 surgical physician assistant records with a practice address in Pennsylvania. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 39% of them.
- NPI issued2009 · 39% of these records are older, 59% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2012 · median 2013 among the 541 with a school on file
- Record last updated2013 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Pennsylvania
There are 832 surgical physician assistant records in Pennsylvania.
All 832 in Pennsylvania → Every provider in Danville → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Anna Haney, PA-CDanville, PA 178221811847916
- Patricia Niglio, PACDanville, PA 178221831156074
- Bryce Petersheim, PA-CDanville, PA 178221629589981
- Garrett Boyer, PA-CLewisburg, PA 178371790030328
- Morgan Curtis, PA-CLewisburg, PA 178371710115688
- Jennifer Macdonald, PA-CLewisburg, PA 178371457339459
- Hugh Mahaffy, PA-CLewisburg, PA 178371841208618
- Rachel Robenolt, PA-CLewisburg, PA 178371851023188
Common questions
What is Taeja Broadwater, PA-C's NPI number?
Taeja Broadwater, PA-C's National Provider Identifier (NPI) is 1114152329, issued on May 18, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Taeja Broadwater, PA-C located?
The NPPES record lists a practice address at Geisinger Medical Ctr, Danville, PA, 17822. Phone: (570) 271-5555. Providers update this record themselves, so call before visiting.
How can I verify Taeja Broadwater, PA-C's license?
NPPES lists Pennsylvania license number MAO55689, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
What is Taeja Broadwater, PA-C's MIPS final score?
The 2023 MIPS final score is 74.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.