Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cysco Allen Merisotes

Individual provider Surgical Physician Assistant · NPI 1073319232

Cysco Allen Merisotes is a Physician Assistant in Springfield, Missouri. Qualified in 2024, 2 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

2115 S Fremont Ave Ste 5000
Springfield, MO 65804-2230
Phone: (417) 820-3912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2025000589 (MO)

Record details

NPI number1073319232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

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 Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Springfield