Individual provider Active NPI

Mercedes Vomund

  • Physician Assistant
  • Columbia, MO
National Provider Identifier
1134080823
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1200 E Broadway
Columbia, MO 65201-4979
Phone
(573) 442-2211
NPI assigned
Nov 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1200 E Broadway
Columbia, MO 65201-4979

Mailing address

1700 Highway P
O Fallon, MO 63366-4605

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327003735 MO Practitioner - Physician Assistant 6800371766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Health LLCGroup PAC ID 2567695893, 12 clinicians

Practice addresses (Care Compare)

633 Emerson Rd
Suite 10
Creve Coeur, MO 63141-6739
Phone (314) 991-4344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Health LLC CurrentSince Feb 20, 2026 Accepting new patients

Locations

633 Emerson Rd
Ste 10
Saint Louis, MO 63141
Phone (314) 991-2150

633 Emerson Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 325-3068

992 Wentzville Pkwy
Wentzville, MO 63385
Phone (314) 991-4342

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1134080823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY P",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E BROADWAY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014979",
            "telephone_number": "573-442-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOMUND",
        "first_name": "MERCEDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.