NPIMap

Alyson Goodale, PA

Individual provider Active NPI Physician Assistant · Springfield, MO

NPI 1558074971 · NPPES record last updated May 29, 2024

Key facts

NPI
1558074971
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
2024003085 (MO)
Practice address
1000 E Primrose St Ste 170
Springfield, MO 65807-5192
Phone
(417) 269-6000
Fax
(417) 269-9853
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 4

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skaggs Community Hospital Association (222 clinicians)
Lester E Cox Medical Centers (336 clinicians)
Cox-Monett Hospital Inc (69 clinicians)

Practice addresses (Care Compare)

1601 Branson Hills Pkwy
Suite 130
Branson, MO 65616-9908
Phone (417) 348-8400

1819 S National Ave
Springfield, MO 65804-2217

2200 E Cleveland St
Monett, MO 65708-6149
Phone (417) 354-1570

3525 E Battlefield St
Suite 100
Springfield, MO 65809-3434
Phone (417) 269-0065

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

501 N Old Wilderness Rd
Nixa, MO 65714-9490
Phone (417) 269-2150

510 Hwy 32
Suite B
Lebanon, MO 65536-5303
Phone (417) 533-0848

5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone (417) 730-5360

525 Branson Landing Blvd
Suite 100
Branson, MO 65616-2152
Phone (417) 348-8646

Hospital & facility affiliations

  • Cox Medical Centers Hospital · Springfield, MO · CCN 260040
  • Cox Medical Center Branson Hospital · Branson, MO · CCN 260094

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 IDStateProvider typePAC IDDetails
I20240318002547 MO Practitioner - Physician Assistant 0143667808 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2024003085MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cox-Monett Hospital, Inc. Current
since Apr 22, 2024		 Accepting new patients
Lester E Cox Medical Centers Current
since Apr 22, 2024		 Accepting new patients
Lester E Cox Medical Centers Current
since Apr 22, 2024		 Accepting new patients
Lester E Cox Medical Centers Current
since Apr 22, 2024		 Accepting new patients
Cox-Monett Hospital, Inc. Current
since Apr 22, 2024		 Accepting new patients
Skaggs Community Hospital Association Current
since Apr 22, 2024		 Accepting new patients
Lester E Cox Medical Centers Current
since Apr 22, 2024		 Accepting new patients
Lester E Cox Medical Centers Current
since Apr 22, 2024		 Accepting new patients
Skaggs Community Hospital Association Current
since Apr 22, 2024		 Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

1601 Branson Hills Pkwy
Ste 130
Branson, MO 65616
Phone (417) 348-8400

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

510 Highway 32
Ste B
Lebanon, MO 65536
Phone (417) 533-0848

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

801 N Lincoln Ave
Monett, MO 65708
Phone (417) 236-2440

501 N Old Wilderness Rd
Nixa, MO 65714
Phone (417) 269-2150

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

3525 E Battlefield St
Springfield, MO 65809
Phone (417) 269-0065

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

1819 S National Ave
Springfield, MO 65804
Phone (417) 269-2700

1000 E Primrose St
Ste 170
Springfield, MO 65807
Phone (417) 269-0930

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2024003085 MO Yes

Addresses

Primary practice location

1000 E Primrose St Ste 170
Springfield, MO 65807-5192

Mailing address

PO Box 505673
Saint Louis, MO 63150-5673
Phone (417) 730-6430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 29, 2024.

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1558074971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505673",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505673",
            "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": "1000 E PRIMROSE ST STE 170",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075192",
            "telephone_number": "417-269-6000",
            "fax_number": "417-269-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALE",
        "first_name": "ALYSON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2024003085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

All providers in Springfield, MO · Physician Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.