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

Individual provider Physician Assistant · NPI 1104435163

Elyse Verdeyen, PA-C is a Physician Assistant in Branson, Missouri. Graduated from Wake Forest University School of Medicine in 2020, 6 years ago. Practices with Dermatology and Mohs Surgery Skin Cancer Center, an 8-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Trained at
Wake Forest University School of Medicine
Licensed in
MO
In the registry since
2020
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

110 Business Park Dr Ste C
Branson, MO 65616-7449
Phone: (417) 336-0033
Fax: (855) 710-6552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 914 Alexis, Lebanon, MO 65536-6802 — (417) 336-0033
  • 10101 Stoltz Dr, Rolla, MO 65401-7714 — (417) 336-0033
  • 1230 E Kingsley St Ste A&B, Springfield, MO 65804-7211 — (417) 336-0033

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024022556 (MO)

Record details

NPI number1104435163
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 27, 2020
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Dermatology And Mohs Surgery Skin Cancer Center — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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