Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amberly Taite Eversole, PA-C

Individual provider Medical Physician Assistant · NPI 1508620733

Amberly Taite Eversole, PA-C is a Physician Assistant in Springfield, Missouri. Qualified in 2023, 3 years ago. Practices with Lester E Cox Medical Centers, a 243-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

960 E Walnut Lawn St Ste 201
Springfield, MO 65807-7865
Phone: (417) 269-4450
Fax: (417) 269-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2024004719 (MO)

Record details

NPI number1508620733
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 8, 2024
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lester E Cox Medical Centers — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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