1. Home
  2. Directory
  3. Missouri
  4. Springfield
  5. Nurse Practitioner
  6. NPI Profile

MRS. MARLISA GAYLE MCGOWAN CPNP
NPI 1295119220
Nurse Practitioner - Pediatrics in Springfield, MO

Active since July 20, 2015PECOS Enrolled
1335 E REPUBLIC RD, SUITE D, SPRINGFIELD, MO 65804(417) 363-3900(417) 313-9998 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2025, Nov 20, 2015 (2 updates tracked since 2015).

About Mrs. Marlisa Gayle Mcgowan Cpnp NPPES

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

MRS. MARLISA GAYLE MCGOWAN CPNP (NPI 1295119220) is an individual pediatrics provider in Springfield, Missouri, licensed in Missouri (2015018288) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295119220
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. MARLISA GAYLE MCGOWANCredential: CPNP
Location Address1335 E REPUBLIC RD, SUITE DSpringfield, MO 65804-7248
Mailing Address1335 E Republic Rd, Suite DSpringfield, MO 65804-7248 · (417) 363-3900 · Fax (417) 313-9998
Phone(417) 363-3900
Fax(417) 313-9998
Sole ProprietorNo
Enumeration DateJuly 20, 2015
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1295119220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2015018288
1335 E REPUBLIC RD, SUITE D, Springfield, MO 65804
Open in Google Maps ↗

Other Identifiers 1

Medicaid1295119220MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marlisa Gayle Mcgowan Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Marlisa Mcgowan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Springfield Communities
1.2 mi
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
NPI 1245277631 (855) 420-7900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Marlisa Mcgowan's NPI number?

The NPI number for Marlisa Mcgowan is 1295119220. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Marlisa Mcgowan located?

Marlisa Mcgowan practices at 1335 E Republic Rd, Suite D, Springfield, MO 65804. The listed phone number is (417) 363-3900.

What is Marlisa Mcgowan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Marlisa Mcgowan enrolled in Medicare?

Yes. Marlisa Mcgowan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marlisa Mcgowan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlisa Mcgowan reassigns Medicare benefits to Mercy Clinic Springfield Communities (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlisa Mcgowan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marlisa Mcgowan was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.