Active NPI
Denise Lynn Anderson
- Surgical Physician Assistant
- Branson, MO
National Provider Identifier
1104500388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2024044299
- Practice address
- 121 Cahill Rd
Branson, MO 65616-2036 - Phone
- (417) 348-8100
- NPI assigned
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2024044299 | MO | Primary |
Addresses
Primary practice location
121 Cahill Rd
Branson, MO 65616-2036
Mailing address
121 Cahill Rd
Branson, MO 65616-2036
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250102001270 | MO | Practitioner - Physician Assistant | 9830626845 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skaggs Community Hospital Association
Practice addresses (Care Compare)
121 Cahill Rd
Suite 206
Branson, MO 65616-1911
Phone (417) 348-8100
Hospital & facility affiliations
- Cox Medical Center Branson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024044299 | MO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skaggs Community Hospital Association | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Past | Accepting new patients |
Locations
121 Cahill Rd
Ste 206
Branson, MO 65616
Phone (417) 348-8100
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Branson, MO
- NPI 1417992793
-
- Rural Health Clinic/Center
- Branson, MO
- NPI 1114005451
-
- Psychiatry Physician
- Branson, MO
- NPI 1184122525
-
- Urgent Care Clinic/Center
- Branson, MO
- NPI 1255870853
-
- Rural Health Clinic/Center
- Branson, MO
- NPI 1336506757
-
- Endocrinology, Diabetes & Metabolism Physician
- Branson, MO
- NPI 1346352606
-
- Cardiovascular Disease Physician
- Branson, MO
- NPI 1346602646
-
- Rural Health Clinic/Center
- Branson West, MO
- NPI 1366520694
-
- Surgery Physician
- Branson, MO
- NPI 1386524270
-
- Rheumatology Physician
- Branson, MO
- NPI 1427215904
-
- Hospitalist Physician
- Branson, MO
- NPI 1477941862
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Branson, MO
- NPI 1760443980
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1104500388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CAHILL RD",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CAHILL RD",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162036",
"telephone_number": "417-348-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DENISE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MO",
"license": "2024044299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.