MRS. GWENDOLYN BROYLES PMHNP
NPI 1497282008
Nurse Practitioner - Psychiatric/Mental Health in Osage Beach, MO
About Mrs. Gwendolyn Broyles Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GWENDOLYN BROYLES PMHNP (NPI 1497282008) is an individual psychiatric/mental health provider in Osage Beach, Missouri, licensed in Missouri (2017008864) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Gwendolyn Broyles Pmhnp 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.
Medicare Billing Reassignments
5Medicare enrollment records show Gwendolyn Broyles reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Osage Beach, MO 65065
- Reassigned Medicare billing, Missouri enrollment
- 10 clinicians in this Medicare group
Osage Beach, MO 65065
- Reassigned Medicare billing, Missouri enrollment
- 4 clinicians in this Medicare group
Waynesville, MO 65583
- Reassigned Medicare billing, Missouri enrollment
- 15 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Missouri State University
- 27 clinicians in this Medicare group
Saint Peters, MO 63376
- Reassigned Medicare billing, Missouri enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OSAGE BEACH, MO 65065
OSAGE BEACH, MO 65065
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 Gwendolyn Broyles's NPI number?
The NPI number for Gwendolyn Broyles is 1497282008. It was assigned to this individual provider in the NPPES registry on May 12, 2017.
Where is Gwendolyn Broyles located?
Gwendolyn Broyles practices at 840 Passover Rd, Osage Beach, MO 65065. The listed phone number is (573) 302-0319.
What is Gwendolyn Broyles's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Gwendolyn Broyles enrolled in Medicare?
Yes. Gwendolyn Broyles 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.
Which organizations bill Medicare for Gwendolyn Broyles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Broyles reassigns Medicare benefits to 5 organizations: Osage Beach Center For Behavioral Health, LLC (Osage Beach, MO), Lake Behavioral Health (Osage Beach, MO), Hope Connections, LLC (Waynesville, MO), Magers Family Health And Wellness Center (Springfield, MO) and Serenity Health LLC (Saint Peters, MO). Each 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 Gwendolyn Broyles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gwendolyn Broyles accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Gwendolyn Broyles 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.
When was this NPI record last updated?
The NPPES record for Gwendolyn Broyles was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mrs. Gwendolyn Broyles, PMHNP · NPI 1497282008
Psychiatric/Mental Health physician in Osage Beach, Missouri. Individual provider, active in the CMS NPPES registry since May 12, 2017.
## Identity
- **NPI:** 1497282008 (Entity type: Individual)
- **Enumerated:** May 12, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2017008864 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 840 PASSOVER RD, Osage Beach, MO 65065-2834
- **Phone:** (573) 302-0319
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Osage Beach Center For Behavioral Health, LLC (NPI 1790115939, Osage Beach, MO); Lake Behavioral Health (NPI 1366037764, Osage Beach, MO); Hope Connections, LLC (NPI 1548686066, Waynesville, MO); Magers Family Health And Wellness Center (NPI 1073600334, Springfield, MO); Serenity Health LLC (NPI 1104569151, Saint Peters, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497282008) · Data from the CMS NPPES public registry.