BRENNA STOTLEMEYER PA-C
NPI 1619738853
Physician Assistant in Columbia, MO

Q: What is Brenna Stotlemeyer's NPI number?

The NPI number for Brenna Stotlemeyer is 1619738853. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Q: What is Brenna Stotlemeyer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 16, 2024PECOS EnrolledAccepts Medicare Assignment

1600 E BROADWAY, COLUMBIA, MO 65201(573) 815-8000(573) 815-6325 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Brenna Stotlemeyer Pa-c NPPES

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

BRENNA STOTLEMEYER PA-C (NPI 1619738853) is an individual physician assistant in Columbia, Missouri, licensed in Missouri (2024039799) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Northeast Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619738853

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBRENNA STOTLEMEYERCredential: PA-C

Location Address1600 E BROADWAYColumbia, MO 65201-5844

Mailing Address1600 E BroadwayColumbia, MO 65201-5844 · (573) 815-8000 · Fax (573) 815-6325

Phone(573) 815-8000

Fax(573) 815-6325

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 16, 2024

Last NPPES UpdateDecember 31, 2024

NPPES CertifiedDecember 31, 2024

✔ NPI 1619738853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 2024039799

Definition

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.

1600 E BROADWAY, Columbia, MO 65201

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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

Brenna Stotlemeyer Pa-c 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 ID4880129154

PECOS Enrollment IDI20241122002425

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 5

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

Northeast Regional Medical Center

Acute Care Hospitals · Kirksville, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260022

Location315 S OsteopathyKirksville, MO 63501 · Adair County

Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260068

Location1600 E BroadwayColumbia, MO 65201 · Boone County

Emergency services Birthing friendly

Moberly Regional Medical Center

Acute Care Hospitals · Moberly, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260074

Location1515 Union AveMoberly, MO 65270 · Randolph County

Emergency services

Fitzgibbon Hospital

Acute Care Hospitals · Marshall, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260142

Location2305 S 65 HighwayMarshall, MO 65340 · Saline County

Emergency services Birthing friendly

Pershing Memorial Hospital

Critical Access Hospitals · Brookfield, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261307

Location130 East LocklingBrookfield, MO 64628 · Linn County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DIANA L ERION FNP-BC

Nurse Practitioner (Family)