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

Mary E Broughton, PA-C

Individual provider Medical Physician Assistant · NPI 1487844734

Mary E Broughton, PA-C is a Physician Assistant in Crystal, Minnesota. Qualified in 2007, 19 years ago. Practices with North Clinic PA, a 49-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5109 36th Ave N
Crystal, MN 55422-2007
Phone: (763) 587-7900
Fax: (763) 587-7989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10288 (MN)

Record details

NPI number1487844734
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2007
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address9201 W Broadway Ave Ste 601, Brooklyn Park, MN 55445-1924

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice North Clinic Pa — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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