Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104572478 Individual Practitioner Female Practitioner

Lydia Elizabeth Broussard , PA-C

Physician Assistant • Anchorage, AK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Lydia Broussard, PA-C is a certified Physician Assistant practicing in Anchorage, AK. With approximately 5 years of clinical experience since completing medical education in 2021, Lydia Broussard delivers high-quality medical care to the local community at 2925 DEBARR RD STE 240.

Lydia Broussard maintains professional affiliations with Neuroversion, Select Physical Therapy Holdings Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2925 Debarr Rd Ste 240

Anchorage, AK 995082959

Telephone 9073394650
Associated Practice Facility / Clinic
🏢 Autonomology, Pc Facility NPI 1013724293

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Anchorage, AK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
251 Specialists

Practicing in Anchorage, AK (551 Statewide)

Telehealth Adoption Rate
19.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Broussard (5 Years) 5 Yrs
Anchorage Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
73 60 $275.00 $92.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 38 $375.00 $131.19

Medical Specialties & State Licenses

CMS Verified: 2026-08-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AK 221587

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX PA15445

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

10928 Eagle River Rd, Eagle River, AK 995778078

Phone: 9076948085

Neuroversion

2925 Debarr Rd, Anchorage, AK 995082900

Phone: 9073394650

Select Physical Therapy Holdings Inc

10928 Eagle River Rd, Eagle River, AK 995778078

Phone: 9076948085

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Andrea Hartman , PA-C

Physician Assistant - Medical

NPI 1063366458

Physician Assistant (Certified)

Gail Combs , PA-C

Physician Assistant

NPI 1134439896

Physician Assistant (Certified)

Brian Erdrich , ANP

Nurse Practitioner - Family

NPI 1154568376

Adult Nurse Practitioner

Jamie Lytton , PA-C

Physician Assistant

NPI 1366834137

Physician Assistant (Certified)

Hailey Lankford , PA-C

Physician Assistant - Medical

NPI 1477035376

Physician Assistant (Certified)

Dr. Benjamin Ekstrom , MD

Anesthesiology - Pain Medicine

NPI 1740556992

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
👤
Provider Name / Credentials Updated August 06, 2026

Recorded as LYDIA BROUSSARD, PA-C

📍
Updated Practice Location June 24, 2024

Registered at 2925 DEBARR RD STE 240, ANCHORAGE, AK 995082959 (Tel: 9073394650)

📍
Updated Business Mailing Address June 24, 2024

Registered at 2925 DEBARR RD STE 240, ANCHORAGE, AK 995082959 (Tel: 9073394650)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2024

Physician Assistant (License #PA15445 in TX)

NPI Profile Active February 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2022

Registered at 6621 FANNIN ST, HOUSTON, TX 770302358 (Tel: 8328241000)

📍
Updated Business Mailing Address February 25, 2022

Registered at 6621 FANNIN ST # MCW1998, HOUSTON, TX 770302358 (Tel: 8328283660)

👤
Provider Name / Credentials Updated February 25, 2022

Recorded as LYDIA NASSAB, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2022

Psychiatry & Neurology (License #PA15445 in TX)

🟢
Initial NPI Registration & Enumeration February 25, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104572478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2022
Last Update: August 06, 2026
Sole Proprietor: No

Mailing Address

2925 Debarr Rd Ste 240

Anchorage, AK 995082959

Phone: 9073394650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.