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

Mary Roberts, PA-C

Individual provider Physician Assistant · NPI 1447969787

Mary Roberts, PA-C is a Physician Assistant in Columbia, Missouri. Qualified in 2022, 4 years ago. Practices with Missouri Cancer Associates LLC, a 21-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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

105 N Keene St Ste 201
Columbia, MO 65201-8131
Phone: (573) 499-4990
Fax: (573) 442-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5104 Sockeye Ct, Columbia, MO 65203-6489 — (573) 999-1692

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1447969787
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 15, 2022
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

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 Missouri Cancer Associates Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia