Active NPI
Bethany S Lemmon, PA-C
- Physician Assistant
- Bolivar, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2009004297
- Practice address
- 1155 W Parkview St Ste 1G
Bolivar, MO 65613-8597 - Phone
- (417) 326-8700
- Fax
- (417) 777-8173
- NPI assigned
- Mar 5, 2009
- Last updated
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2009004297 | MO | Primary |
Addresses
Primary practice location
1155 W Parkview St Ste 1G
Bolivar, MO 65613-8597
Mailing address
PO Box 505673
Saint Louis, MO 63150-5673
Other practice location 1
101 Skaggs Rd Ste 103
Branson, MO 65616-2062
Phone (000) 000-0000
Other practice location 2
1000 E Hwy 60
Monett, MO 65708-8258
Phone (000) 000-0000
Other practice location 3
3525 S National Ave Ste 101
Springfield, MO 65807-7315
Phone (000) 000-0000
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Primrose St
Suite 360
Springfield, MO 65807-5293
Phone (417) 269-4037
13852 US Hwy 160
Forsyth, MO 65653-5156
Phone (417) 546-3500
3525 S National Ave St
Springfield, MO 65807-7315
3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Physician Assistant | Current | Accepting new patients |
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Lester E. Cox Medical Centers | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients |
Locations
1155 W Parkview St
Ste 1G
Bolivar, MO 65613
Phone (417) 326-8700
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
101 Skaggs Rd
Ste 103
Branson, MO 65616
Phone (417) 335-7121
1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269
1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037
3525 S National Ave
Springfield, MO 65807
Phone (417) 269-9200
3525 S National Ave
Ste 101
Springfield, MO 65807
Phone (417) 269-9950
Organizations & group practices 11
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.
-
dba Shell Knob Family Medicine
- Family Medicine Physician
- Shell Knob, MO
- NPI 1538334396
-
dba CoxHealth Center Forsyth
- Rural Health Clinic/Center
- Forsyth, MO
- NPI 1861423683
-
dba Cox Monett Hospital
- Emergency Medicine Physician
- Monett, MO
- NPI 1669687125
-
dba CMH Willard Medical Center
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
-
dba CoxHealth Neurology
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
dba Cox Hyperbaric Medicine and Wound Care Center
- Internal Medicine Physician
- Springfield, MO
- NPI 1962569244
-
dba CoxHealth Family Medicine Branson
- Family Medicine Physician
- Branson, MO
- NPI 1356291298
-
dba CoxHealth Branson Hospitalist
- Hospitalist Physician
- Branson, MO
- NPI 1477941862
-
dba Springfield Inpatient Physicians
- Hospitalist Physician
- Springfield, MO
- NPI 1952355646
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cox Medical Centers
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
dba Cox Air Care
- Air Ambulance
- Springfield, MO
- NPI 1578680286
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1710127642",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 W PARKVIEW ST STE 1G",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656138597",
"telephone_number": "417-326-8700",
"fax_number": "417-777-8173"
}
],
"practiceLocations": [
{
"address_1": "101 Skaggs Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656162062",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 E Hwy 60",
"address_purpose": "LOCATION",
"city": "Monett",
"state": "MO",
"postal_code": "657088258",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3525 S National Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658077315",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEMMON",
"first_name": "BETHANY",
"middle_name": "S",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2009004297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.