MARY BRANDON PA-C
NPI 1750249876
Physician Assistant in Springfield, MO

Q: What is Mary Brandon's NPI number?

The NPI number for Mary Brandon is 1750249876. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Q: What is Mary Brandon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Brandon was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 15, 2026PECOS Enrolled

3801 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 269-6000 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 3, 2026, Apr 22, 2026, Jan 15, 2026 (3 updates tracked since 2026).

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About Mary Brandon Pa-c NPPES

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

MARY BRANDON PA-C (NPI 1750249876) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2026005480) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750249876

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY BRANDONCredential: PA-C

Location Address3801 S NATIONAL AVESpringfield, MO 65807-5210

Mailing Address3801 S National AveSpringfield, MO 65807-5210

Phone(417) 269-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 15, 2026

Last NPPES UpdateJune 3, 20263 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1750249876 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 · 2026005480

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.

3801 S NATIONAL AVE, Springfield, MO 65807

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Secondary Practice Locations 2

Location 1525 Branson Landing BlvdBranson, MO 65616-2052 · Phone (417) 875-2627

Location 21423 N Jefferson AveSpringfield, MO 65802-1917 · Phone (417) 269-4636

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Brandon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385128727

PECOS Enrollment IDI20260324001538

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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.

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