Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristina P Broderick, PA-C

Individual provider Physician Assistant · NPI 1346864527

Kristina P Broderick, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2020, 6 years ago. Practices with American Health Network of Indiana LLC, a 204-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10421 E County Road 100 N
Indianapolis, IN 46234-1243
Phone: (317) 272-7013
Fax: (317) 272-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1346864527
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice American Health Network Of Indiana Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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