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

Individual provider Physician Assistant · NPI 1619738853

Brenna Stotlemeyer, PA-C is a Physician Assistant in Columbia, Missouri. Qualified in 2024, 2 years ago. Practices with Boone Physician Services LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
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

1600 E Broadway
Columbia, MO 65201-5844
Phone: (573) 815-8000
Fax: (573) 815-6325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024039799 (MO)

Record details

NPI number1619738853
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 16, 2024
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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