Individual provider Active NPI

Kaylin Sue Hunzicker

  • Medical Physician Assistant
  • Branson, MO
National Provider Identifier
1730051293
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
101 Skaggs Rd
Branson, MO 65616-2075
Phone
(417) 269-5239
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

101 Skaggs Rd
Branson, MO 65616-2075

Mailing address

101 Skaggs Rd
Branson, MO 65616-2075
Phone (417) 269-5239

Other names 1

  • Kaylin Sue Jones Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119001682 MO Practitioner - Physician Assistant 4587155338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Branson Nephrology LLCGroup PAC ID 0840250585, 6 clinicians

Practice addresses (Care Compare)

101 Skaggs Rd
Branson, MO 65616-2062
Phone (417) 334-8288

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Branson Nephrology LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

101 Skaggs Rd
Ste 302
Branson, MO 65616
Phone (417) 334-8040

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1730051293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SKAGGS RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162075",
            "telephone_number": "417-269-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SKAGGS RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162075",
            "telephone_number": "417-269-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNZICKER",
        "first_name": "KAYLIN",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLIN",
            "last_name": "JONES",
            "middle_name": "SUE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.