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

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

Individual provider Physician Assistant · NPI 1114299419

MS. Lucy Broaddus, MMS, PA-C, ATC is a Physician Assistant in O Fallon, Illinois. Qualified in 2012, 14 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

310 N 7 Hills Rd Ste 220
O Fallon, IL 62269-4111
Phone: (618) 624-6181
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004281 (IL)

Record details

NPI number1114299419
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C , ATC
Sole proprietorNo
NPI enumeratedFebruary 1, 2012
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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