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

Jason Stubbs

Individual provider Physician Assistant · NPI 1205402351

Jason Stubbs is a Physician Assistant in Springfield, Missouri. Qualified in 2022, 4 years ago. Practices with Dermatology and Mohs Surgery Skin Cancer Center, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
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Practice location Address checks out

1230 E Kingsley St Ste A&b
Springfield, MO 65804-7211
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.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1205402351
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2021
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address110 Business Park Dr Ste C, Branson, MO 65616-7449

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dermatology And Mohs Surgery Skin Cancer Center — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield