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Active NPI 1770180960 Individual Practitioner Female Practitioner

Elyse Renee Broucek

Physician Assistant • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Elyse Broucek is a certified Physician Assistant practicing in Phoenix, AZ. With approximately 6 years of clinical experience since completing medical education in 2020, Elyse Broucek delivers high-quality medical care to the local community at 4045 E BELL RD STE 125.

Elyse Broucek is affiliated with Alliance Dermatology And Mohs Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include repair of wound by transferring skin, 30.1-60.0 sq cm, preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children), repair of wound by transferring skin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4045 E Bell Rd Ste 125

Phoenix, AZ 850322238

Telephone 6029710268
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
95.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Broucek (6 Years) 6 Yrs
Phoenix Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm
355 284 $2143.77 $105.28
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)
193 181 $538.73 $28.68
14302 Repair of wound by transferring skin, each additional 30.0 sq cm
144 69 $558.63 $28.25
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
125 123 $658.72 $33.91

Medical Specialties & State Licenses

CMS Verified: 2025-02-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Alliance Dermatology And Mohs Center Pc

4045 E Bell Rd, Phoenix, AZ 850322238

Phone: 6029710268205

Secondary Practice Locations

13843 W Meeker Blvd

Sun City West, AZ 853755285

Phone: 6235841325

14506 W Granite Valley Dr Ste 220

Sun City West, AZ 853756013

Phone: 6235841325

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1083621148

Doctor of Medicine (M.D.)

Sara Hartman , PA-C

Physician Assistant

NPI 1629247796

Physician Assistant (Certified)

Jessica Rubel , PA-C

Physician Assistant

NPI 1649897810

Physician Assistant (Certified)

NPI 1700893864

Doctor of Medicine (M.D.)

Holly Nichols , NP

Nurse Practitioner

NPI 1780650036

Nurse Practitioner

Stephanie Pasley , NP

Nurse Practitioner

NPI 1881149219

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 31, 2024

Registered at 4045 E BELL RD STE 125, PHOENIX, AZ 850322238 (Tel: 6029710268)

📍
Updated Business Mailing Address December 31, 2024

Registered at 4045 E BELL RD STE 125, PHOENIX, AZ 850322238

NPI Profile Active October 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2020

Registered at 10240 W INDIAN SCHOOL RD STE 115, PHOENIX, AZ 850375905 (Tel: 6232439077)

📍
Updated Business Mailing Address October 01, 2020

Registered at 10240 W INDIAN SCHOOL RD STE 115, PHOENIX, AZ 850375905

👤
Provider Name / Credentials Updated October 01, 2020

Recorded as ELYSE BROUCEK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 01, 2020

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: 1770180960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2020
Last Update: February 04, 2025
Sole Proprietor: No

Mailing Address

4045 E Bell Rd Ste 125

Phoenix, AZ 850322238

Phone: 6029710268

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.