Individual provider Active NPI

Robyn Wittke, PA

  • Physician Assistant
  • Branson, MO
National Provider Identifier
1649440900
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
525 Branson Landing Blvd
Branson, MO 65616-2052
Phone
(417) 335-7128
Fax
(417) 348-8007
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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 Primary

Addresses

Primary practice location

525 Branson Landing Blvd
Branson, MO 65616-2052

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080415000640 MO Practitioner - Physician Assistant 5597843656 Reassigns benefits to 4 organizations
I20100512000553 AR Practitioner - Physician Assistant 5597843656 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Regional Medical Center CurrentSince Feb 13, 2024 Accepting new patients
Mercy Hospital Lebanon CurrentSince May 18, 2024 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
Mercy Hospital Springfield CurrentSince Feb 17, 2025 Accepting new patients
Ozarks Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Mercy Hospital Springfield CurrentSince Feb 17, 2025 Accepting new patients
Mercy Hospital Lebanon CurrentSince May 18, 2024 Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
Ozarks Medical Center CurrentSince Feb 1, 2025 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Feb 13, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

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

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

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

Interoperability endpoints

  • Direct secure messaging: robyn.wittke@cernerdirect.coxhealth.com

Organizations & group practices 14

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 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1649440900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRANSON LANDING BLVD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162052",
            "telephone_number": "417-335-7128",
            "fax_number": "417-348-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTKE",
        "first_name": "ROBYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.