Bethany Lemmon, PA-C
NPI 1710127642 · Physician Assistant · Bolivar, MO
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1710127642
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2009004297 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 101 Skaggs Rd Ste 103Branson, MO 65616-2062Phone: (000) 000-0000
- 1000 E Hwy 60Monett, MO 65708-8258Phone: (000) 000-0000
- 3525 S National Ave Ste 101Springfield, MO 65807-7315Phone: (000) 000-0000
Registry dates
- Enumerated
- 2009-03-05
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.