Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessirae Broussard, AA

Individual provider Anesthesiologist Assistant · NPI 1326452962

Jessirae Broussard, AA is an Anesthesiology Assistant in Liberty, Missouri. Qualified in 2014, 12 years ago. Practices with Professional Anesthetic Care Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
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Practice location Address checks out

2525 Glenn Hendren Dr Anesthesia Dept
Liberty, MO 64068-9625
Phone: (816) 781-7200
Fax: (816) 792-7196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2014018078 (MO)

Record details

NPI number1326452962
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedJune 11, 2014
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing addressPo Box 804408, Kansas City, MO 64180-4408

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Professional Anesthetic Care Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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