NPIMap

Individual provider Active NPI

Michael White, PA-C

  • Physician Assistant
  • Lebanon, MO
National Provider Identifier
1508513532
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2022008548 Issued in MO
Practice address
100 Hospital Dr
Lebanon, MO 65536-9210
Phone
(417) 533-6100
NPI assigned
Mar 9, 2022
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 2022008548 MO Primary

Addresses

Primary practice location

100 Hospital Dr
Lebanon, MO 65536-9210

Mailing address

800 State Highway 248 Ste 2E
Branson, MO 65616-4078
Phone (417) 553-1197

Other identifiers 1

IdentifierTypeStateIssuer
1194283OtherNCCPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525000898 MO Practitioner - Physician Assistant 9638556020 Reassigns benefits to 10 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
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

1500 N Oakland Ave
Citizens Memorial Hospital
Bolivar, MO 65613-3011
Phone (417) 326-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022008548MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Springfield CurrentSince Feb 19, 2025 Accepting new patients
Mercy Hospital Lebanon CurrentSince Jun 20, 2022 Accepting new patients
Mercy Hospital Springfield CurrentSince Feb 19, 2025 Accepting new patients
St. Mary's Hospital of Superior Current Accepting new patients
Cox-Monett Hospital, Inc. Current Accepting new patients
Ozarks Medical Center CurrentSince Sep 12, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Skaggs Community Hospital Association CurrentSince Aug 1, 2022 Accepting new patients
Skaggs Community Hospital Association CurrentSince Aug 1, 2022 Accepting new patients
Mercy Clinic Springfield Communities Physician Assistant CurrentSince Nov 18, 2025 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Lebanon CurrentSince Jun 20, 2022 Accepting new patients
Ozarks Medical Center Current Accepting new patients
Ozarks Medical Center CurrentSince Sep 12, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Citizens Memorial Hospital District Past Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 12

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1508513532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 STATE HIGHWAY 248 STE 2E",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164078",
            "telephone_number": "417-553-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369210",
            "telephone_number": "417-533-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2022008548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1194283",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.