Taeja Broadwater, PA-C
NPI 1114152329 · Surgical Physician Assistant · Danville, PA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Taeja Broadwater, PA-C is a Surgical Physician Assistant provider in Danville, PA (NPI 1114152329).
Provider details
- NPI number
- 1114152329
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- R185137 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-18
- Last updated
- 2013-09-27
Frequently asked questions
- What is Taeja Broadwater's NPI number?
- Taeja Broadwater's National Provider Identifier (NPI) is 1114152329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Taeja Broadwater's specialty?
- Taeja Broadwater is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Taeja Broadwater located?
- Taeja Broadwater's practice location on file with NPPES is Geisinger Medical Ctr, Danville, PA 17822-0001.
- What is Taeja Broadwater's phone number?
- The practice phone number listed in the NPPES registry for Taeja Broadwater is (570) 271-5555.
- Does Taeja Broadwater accept Medicare?
- Taeja Broadwater is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Taeja Broadwater's NPI active?
- Yes — Taeja Broadwater's NPI (1114152329) is active in the NPPES registry as of the last update on 2013-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.