Individual provider Active NPI

Brett Genenbacher, PA-C

  • Medical Physician Assistant
  • Quincy, IL
National Provider Identifier
1467074401
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085008555 Issued in IL
Practice address
927 Broadway St Ste 201
Quincy, IL 62301-2726
Phone
(217) 214-6267
Fax
(217) 223-9045
NPI assigned
May 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085008555 IL Primary
Medical Physician Assistant 363AM0700X 2024028120 MO

Addresses

Primary practice location

927 Broadway St Ste 201
Quincy, IL 62301-2726

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-1200

Other practice location 1

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20211026000149 IL Practitioner - Physician Assistant 1355739301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, shared by 21 NPIs, 414 clinicians

Practice addresses (Care Compare)

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025
  • Blessing Hospital Hospital, Quincy, IL, CCN 140015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085008555ILMDMedical Physician Assistant
2024028120MOMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Oct 18, 2021 Accepting new patients
Blessing Hospital CurrentSince Oct 18, 2021 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Oct 16, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Oct 16, 2024 Accepting new patients
Blessing Hospital CurrentSince Mar 1, 2026 Accepting new patients
Blessing Corporate Services Inc Past Accepting new patients
Hannibal Regional Healthcare System, Inc PastSince Oct 6, 2024 Accepting new patients

Locations

1005 Broadway St
Quincy, IL 62301

927 Broadway St
Ste 201
Quincy, IL 62301
Phone (217) 214-6267

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1467074401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST STE 201",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012726",
            "telephone_number": "217-214-6267",
            "fax_number": "217-223-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623012834",
            "country_code": "US",
            "telephone_number": "217-223-1200",
            "fax_number": "217-277-8988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENENBACHER",
        "first_name": "BRETT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085008555",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2024028120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.