BENJAMIN STULTS CAA
NPI 1982546669
Anesthesiologist Assistant in Verona, MO

Active since April 09, 2026Accepts Medicare Assignment
4817 STATE HWY VV, VERONA, MO 65769(417) 846-3367 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Benjamin Stults Caa NPPES

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

BENJAMIN STULTS CAA (NPI 1982546669) is an individual anesthesiologist assistant in Verona, Missouri and active in the NPI registry since April 2026. He is affiliated with St David's Medical Center and is a graduate of Other (2026).

NPPES Registry Identity

NPI1982546669
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameBENJAMIN STULTSCredential: CAA
Location Address4817 STATE HWY VVVerona, MO 65769
Mailing Address4817 State Hwy VvVerona, MO 65769
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateApril 9, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1982546669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
4817 STATE HWY VV, Verona, MO 65769

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Benjamin Stults Caa 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 ID2567936586
PECOS Enrollment IDI20260630005415

Medicare Billing Reassignment

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

Anesthesiology
1737 BRIARCREST DR STE 14
Bryan, TX 77802
  • Reassigned Medicare billing, Texas enrollment
  • 840 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.

Hospital Affiliations CMS Care Compare 3

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

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 Benjamin Stults's NPI number?

The NPI number for Benjamin Stults is 1982546669. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Where is Benjamin Stults located?

Benjamin Stults practices at 4817 State Hwy Vv, Verona, MO 65769. The listed phone number is (417) 846-3367.

What is Benjamin Stults's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Benjamin Stults enrolled in Medicare?

Yes. Benjamin Stults 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 organization bills Medicare for Benjamin Stults's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Stults reassigns Medicare benefits to Austin Anesthesiology Group PLLC (Bryan, TX). 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 Benjamin Stults's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Stults accept?

Health plans from Blue Cross and Blue Shield of Texas list Benjamin Stults 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.

Is Benjamin Stults affiliated with any hospitals?

According to CMS data, Benjamin Stults is affiliated with St David's Medical Center, St David's South Austin Medical Center and North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Stults was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.