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MARIAH STACY GANN PA-C
NPI 1851077408
Physician Assistant - Medical in Columbia, MO

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment
525 N KEENE ST STE 301, COLUMBIA, MO 65201(573) 449-2141(573) 556-1750 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Mar 5, 2025 (2 updates tracked since 2025).

About Mariah Stacy Gann Pa-c NPPES

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

MARIAH STACY GANN PA-C (NPI 1851077408) is an individual medical provider in Columbia, Missouri and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and is a graduate of University Of Nebraska College Of Medicine (2024).

NPPES Registry Identity

NPI1851077408
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARIAH STACY GANNCredential: PA-C
Location Address525 N KEENE ST STE 301Columbia, MO 65201-8106
Mailing Address1241 W Stadium BlvdJefferson City, MO 65109-6023
Phone(573) 449-2141
Fax(573) 556-1750
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2024
Enumeration DateJune 27, 2023
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1851077408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
525 N KEENE ST STE 301, 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

Mariah Stacy Gann 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 ID2264959089
PECOS Enrollment IDI20250506001026
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.

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

Other Providers at the Same Location NPPES 2

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

MRS. BRIANA KATHLEEN KILE FNP
Nurse Practitioner (Family)
525 N KEENE ST STE 301
COLUMBIA, MO 65201
Boone County (573) 499-2141
ELIZABETH ANNE SMOOT PA
Physician Assistant
525 N KEENE ST STE 301
COLUMBIA, MO 65201
Boone County (573) 449-2141

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 Mariah Gann's NPI number?

The NPI number for Mariah Gann is 1851077408. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Mariah Gann located?

Mariah Gann practices at 525 N Keene St Ste 301, Columbia, MO 65201. The listed phone number is (573) 449-2141.

What is Mariah Gann's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mariah Gann enrolled in Medicare?

Yes. Mariah Gann 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.

Is Mariah Gann affiliated with any hospitals?

According to CMS data, Mariah Gann is affiliated with Boone Hospital Center.

When was this NPI record last updated?

The NPPES record for Mariah Gann was last updated on August 20, 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.