Individual provider Active NPI

Jeremy Berbereia, PA-C

  • Medical Physician Assistant
  • Branson, MO
National Provider Identifier
1508279381
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2014017612 Issued in MO
Practice address
1150 State Highway 248 Ste 200
Branson, MO 65616-4186
Phone
(417) 336-4112
Fax
(417) 335-4684
NPI assigned
Jun 9, 2014
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2014017612 MO Primary

Addresses

Primary practice location

1150 State Highway 248 Ste 200
Branson, MO 65616-4186

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other practice location 1

525 Branson Landing Blvd Ste 201A
Branson, MO 65616-2052
Phone (417) 335-7000

Other practice location 2

1660 W Garton Rd
Ozark, MO 65721
Phone (417) 554-9669

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
I20140723000988 MO Practitioner - Physician Assistant 6901022235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1150 State Hwy 248
Suite 200
Branson, MO 65616-4186
Phone (417) 336-4112

13852 US Hwy 160
Forsyth, MO 65653-5156
Phone (417) 546-3500

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7128

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
2014017612MOMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skaggs Community Hospital Association CurrentSince Jun 30, 2014 Accepting new patients
Skaggs Community Hospital Association CurrentSince Feb 1, 2026 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jun 30, 2014 Accepting new patients

Locations

1150 State Highway 248
Ste 200
Branson, MO 65616
Phone (417) 336-4112

525 Branson Landing Blvd
Ste 508
Branson, MO 65616
Phone (417) 335-7540

Interoperability endpoints

  • Direct secure messaging: jeremy.berbereia@cernerdirect.coxhealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1508279381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 STATE HIGHWAY 248 STE 200",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164186",
            "telephone_number": "417-336-4112",
            "fax_number": "417-335-4684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-335-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 W Garton Rd",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "65721",
            "country_code": "US",
            "telephone_number": "417-554-9669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERBEREIA",
        "first_name": "JEREMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-10-01",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2014017612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.