NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Lucy Broaddus, MMS, PA-C, ATC.

Physician Assistant in O Fallon, IL · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114299419

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Ms. Lucy Broaddus
Credential MMS, PA-C, ATC.
Sex Female
Practice address 310 N 7 Hills Rd Ste 220, O Fallon, IL, 62269
Phone (618) 624-6181
Enumeration date Feb 1, 2012
Last updated in NPPES Jan 26, 2026

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085004281 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Lucy Broaddus?
Lucy Broaddus is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-26.