Autumn Lynn Bertholdi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2006010979 Issued in MO

Practice address

3850 S National Ave Ste 705
Springfield, MO 65807-5239

Phone

(417) 900-3407

Fax

(417) 889-0476

NPI assigned

Jun 26, 2006

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mike Swann, MD, LLCGroup PAC ID 0941346068, 10 clinicians

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score

91.43 of 100Reported as group

Quality

91.51

Promoting interoperability

100

Improvement activities

40

Cost

79.93

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acourtney@swann.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1891179040
  Medicare reassignment Care Compare group
• Mike Swann, MD, LLC

  dba Swann Dermatology & Esthetics

  • Procedural Dermatology Physician
  • Springfield, MO
  • NPI 1689907081
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  dba Swann Dermatology Partners, A Forefront Dermatology Practice

  • Dermatology Physician
  • Springfield, MO
  • NPI 1730046970
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology - Missouri, LLC

  dba Swann Dermatology Partners, A Forefront Dermatology Practice

  • Dermatology Physician
  • Branson, MO
  • NPI 1609791037
  NPD (past)
• Forefront Dermatology, S.C.

  dba Swann Dermatology Partners, A Forefront Dermatology Practice

  • Dermatology Physician
  • Branson, MO
  • NPI 1790638468
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Dermatology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lester E Cox Medical Centers

  dba Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  Care Compare affiliation
• Lester E Cox Medical Centers

  dba CoxHealth

  • Land Ambulance
  • Springfield, MO
  • NPI 1114044823

  Hospital

  Care Compare affiliation
• Lester E. Cox Medical Centers

  dba Cox Air Care

  • Air Ambulance
  • Springfield, MO
  • NPI 1578680286

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1013944024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 S NATIONAL AVE STE 705",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075239",
            "telephone_number": "417-900-3407",
            "fax_number": "417-889-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 E INDEPENDENCE ST STE 200",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044201",
            "country_code": "US",
            "telephone_number": "417-900-3407",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 PINEHURST DR",
            "address_purpose": "LOCATION",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162796",
            "country_code": "US",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 E INDEPENDENCE ST STE 100",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044201",
            "country_code": "US",
            "telephone_number": "417-900-3407",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 E CLEVELAND ST",
            "address_purpose": "LOCATION",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657086149",
            "country_code": "US",
            "telephone_number": "417-900-3407",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 HOSPITAL DR STE C",
            "address_purpose": "LOCATION",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369251",
            "country_code": "US",
            "telephone_number": "417-334-7200",
            "fax_number": "417-334-7299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 BIRCH RD STE 2C",
            "address_purpose": "LOCATION",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656729607",
            "country_code": "US",
            "telephone_number": "417-815-6737",
            "fax_number": "417-690-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTHOLDI",
        "first_name": "AUTUMN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2006010979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acourtney@swann.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3850 S National Ave Ste 705",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658075239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nina Elizabeth Bernard, MPT
• Jaime L Bernhardt, MSW, LMSW
• Ashton Bernskoetter
• Miranda Nicole Berry, PHARMD
• Jessica L Berscheid, MS. LPC
• Matthew Christopher Bertoldie, RD
• John F Bertsch, MA, LCSW
• Makenna Besett
• Ralph C Bethea III, MD
• Bethesda Foundation

• Physician Assistant in Springfield, MO
• Providers in Springfield, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.