NPIMap

Individual provider Active NPI

Rhiannon Broersma, PAC

  • Surgical Physician Assistant
  • Carson City, NV
National Provider Identifier
1619539434
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
4751 Bryce Dr
Carson City, NV 89706-4701
Phone
(775) 901-3663
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

4751 Bryce Dr
Carson City, NV 89706-4701

Mailing address

6959 Sacred Cir
Sparks, NV 89436-5471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210810003908 NV Practitioner - Physician Assistant 6709280902 Reassigns benefits to 2 organizations
I20250904001567 CA Practitioner - Physician Assistant 6709280902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

155 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8900

165 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8950

Hospital & facility affiliations

  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.92 of 100Reported as group
Quality
79.65
Promoting interoperability
100
Improvement activities
40
Cost
76.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Healthcare System CurrentSince Sep 1, 2025 Accepting new patients
Barton Healthcare System CurrentSince Sep 1, 2025 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Barton Healthcare System Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

212 Elks Point Rd
Unit 201
Zephyr Cove, NV 89448
Phone (775) 588-9188

Interoperability endpoints

  • Direct secure messaging: rbroersma147052@direct.renown.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1619539434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6959 SACRED CIR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894365471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 BRYCE DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897064701",
            "telephone_number": "775-901-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROERSMA",
        "first_name": "RHIANNON",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-03-18",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.