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

Individual provider Physician Assistant · NPI 1265732549

Jason Bustin, PA is a Physician Assistant in Lebanon, Missouri. Qualified in 2010, 16 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
16
Licensed in
CA, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

120 Hospital Dr Ste 100
Lebanon, MO 65536-9227
Phone: (417) 533-6751
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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 2024011270 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 21247 (CA)

Record details

NPI number1265732549
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 2, 2010
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address120 Hospital Dr Ste 100, Lebanon, MO 65536-9227

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 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

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