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CYSCO ALLEN MERISOTES
NPI 1073319232
Physician Assistant - Surgical in Springfield, MO

Active since February 19, 2025PECOS EnrolledAccepts Medicare Assignment
2115 S FREMONT AVE STE 5000, SPRINGFIELD, MO 65804(417) 820-3912 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cysco Allen Merisotes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYSCO ALLEN MERISOTES (NPI 1073319232) is an individual surgical provider in Springfield, Missouri, licensed in Missouri (2025000589) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073319232
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCYSCO ALLEN MERISOTES
Location Address2115 S FREMONT AVE STE 5000Springfield, MO 65804-2230
Mailing Address46 W Cherry StFair Grove, MO 65648-8433 · (417) 849-1172
Phone(417) 820-3912
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
✔ NPI 1073319232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MO · 2025000589
2115 S FREMONT AVE STE 5000, Springfield, MO 65804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cysco Allen Merisotes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981127636
PECOS Enrollment IDI20250403000169
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIENA LAUREN ANDRUS PA-C
Physician Assistant (Medical)
2115 S FREMONT AVE STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3912
MORGAN TROKEY NP
Nurse Practitioner (Family)
2115 S FREMONT AVE STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3912
RICARDO FIGUEROA-VICENTY M.D.
Surgery (Vascular Surgery)
2115 S FREMONT AVE STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3912
AMY SHIPLEY NP
Nurse Practitioner (Family)
2115 S FREMONT AVE STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3960
BRUCE JONES MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2115 S FREMONT AVE STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3960
KYLI ANN MYEARS FNP
Nurse Practitioner
2115 S FREMONT AVE STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3960
MRS. NICOLE RAE JENNINGS FNP-C
Nurse Practitioner (Family)
2115 S FREMONT AVE STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3192
VALENTINA MARIE ROSCO FNP-BC
Nurse Practitioner (Family)
2115 S FREMONT AVE STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cysco Merisotes's NPI number?

The NPI number for Cysco Merisotes is 1073319232. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Cysco Merisotes located?

Cysco Merisotes practices at 2115 S Fremont Ave Ste 5000, Springfield, MO 65804. The listed phone number is (417) 820-3912.

What is Cysco Merisotes's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Cysco Merisotes enrolled in Medicare?

Yes. Cysco Merisotes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cysco Merisotes accept?

Health plans from UnitedHealthcare list Cysco Merisotes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cysco Merisotes affiliated with any hospitals?

According to CMS data, Cysco Merisotes is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Cysco Merisotes was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.