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

Jenny Veronica Gorost Deyto, PA-C

Individual provider Physician Assistant · NPI 1639125883

Jenny Veronica Gorost Deyto, PA-C is a Physician Assistant in Columbia, Missouri. Qualified in 2005, 21 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
21
Licensed in
IL, MO
In the registry since
2006
Specialties on file
3
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

1 Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 884-9066
Fax: (573) 884-3037
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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 2021049878 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085005871 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 2010023051 (MO)

Record details

NPI number1639125883
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESOctober 5, 2022
Certification dateJanuary 14, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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