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

Tasheena Broadnax

Individual provider Physician Assistant · NPI 1033997242

Tasheena Broadnax is a Physician Assistant in Brooklyn Park, Minnesota. Qualified in 2023, 3 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023

Practice location Address checks out

10000 Zane Ave N
Brooklyn Park, MN 55443-1400
Phone: (763) 528-6999
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15206 (MN)

Record details

NPI number1033997242
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2023
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address10000 Zane Ave N, Brooklyn Park, MN 55443-1400

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Brooklyn Park