Active NPI
Aaron Guyer, PA
- Physician Assistant
- Shell Knob, MO
National Provider Identifier
1619986718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2023027038
- Practice address
- 22361 Oak Ridge Dr
Shell Knob, MO 65747-7822 - Phone
- (417) 858-3731
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00439 | KS | |
| Physician Assistant | 363A00000X | 2023027038 | MO | Primary |
Addresses
Primary practice location
22361 Oak Ridge Dr
Shell Knob, MO 65747-7822
Mailing address
22361 Oak Ridge Dr
Shell Knob, MO 65747-7822
Phone (417) 858-3731
Other practice location 1
9211 E 21st St N
Wichita, KS 67206-2900
Phone (316) 609-4501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100449470A | Medicaid | KS | |
| 042965 | Other | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1605 Martin Springs Dr
Rolla, MO 65401-2980
22361 Oak Ridge Dr
Shell Knob, MO 65747-7822
Phone (417) 858-3731
Hospital & facility affiliations
- Traditions Health
- Mercy Hospital - Cassville
- Mercy Hospital Berryville
- Mercy Hospital Springfield
- Mercy Hospital Aurora
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00439 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients |
Locations
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
22361 Oak Ridge Dr
Shell Knob, MO 65747
Phone (417) 858-3731
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Rural Health Clinic/Center
- Salem, MO
- NPI 1497886451
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Critical Access Hospital
- Cassville, MO
- NPI 1285676932
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
-
- Home Health Agency
- Springfield, MO
- NPI 1760128433
-
- Critical Access Hospital
- Berryville, AR
- NPI 1457306326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1619986718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22361 OAK RIDGE DR",
"city": "SHELL KNOB",
"state": "MO",
"postal_code": "657477822",
"telephone_number": "417-858-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22361 OAK RIDGE DR",
"city": "SHELL KNOB",
"state": "MO",
"postal_code": "657477822",
"telephone_number": "417-858-3731"
}
],
"practiceLocations": [
{
"address_1": "9211 E 21st St N",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672062900",
"country_code": "US",
"telephone_number": "316-609-4501",
"fax_number": "316-609-4588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUYER",
"first_name": "AARON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "00439",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2023027038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100449470A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "042965",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Shell Knob, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.