Brittany N. Rogers, PA-C
Individual provider Active NPI Physician Assistant · Farmington, MO
NPI 1194262006 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1194262006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2017004771 (MO)
- Practice address
- 1101 W Liberty St
Farmington, MO 63640-1921 - Phone
- (573) 705-1272
- NPI assigned
- Jan 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Groups LC
Practice addresses (Care Compare)
1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
Hospital & facility affiliations
- Parkland Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170308002179 | MO | Practitioner - Physician Assistant | 8426332552 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2017004771 | MO | |
| Physician Assistant | 363A00000X | 2017004771 | MO | Yes |
Addresses
Primary practice location
1101 W Liberty St
Farmington, MO 63640-1921
Mailing address
1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 705-1272
Other practice location 1
18 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 331-5583
Other practice location 2
130 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-1813
Other practice location 3
611 W Main St
Fredericktown, MO 63645-1146
Phone (573) 783-3341
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Farmington, MO
- Guy D Roberts
- Joshua Allan Roberts
- Justin W. Roberts
- George Okey Robertson
- Deborah Lavaughn Robinson
- Jessica Rogers
- Kristen Rogers
- Mary K Rolf
- Dena Lynne Rose
- Douglas W Rose
All providers in Farmington, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.