Active NPI
Brett Genenbacher, PA-C
- Medical Physician Assistant
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085008555
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Hospital
Practice addresses (Care Compare)
927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423
Hospital & facility affiliations
- Hannibal Regional Hospital
- Blessing Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085008555 | IL | MD | Medical Physician Assistant |
| 2024028120 | MO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Corporate Services Inc | Past | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Past | 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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- 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.
-
- Multi-Specialty Clinic/Center
- Quincy, IL
- NPI 1114471737
-
- Hospitalist Physician
- Quincy, IL
- NPI 1235656745
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1134311392
-
- Rural Health Clinic/Center
- Warsaw, IL
- NPI 1720186265
-
- Home Health Agency
- Hannibal, MO
- NPI 1992726731
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.