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

Individual provider Physician Assistant · NPI 1013944024

Mrs. Autumn Lynn Bertholdi, PA-C is a Physician Assistant in Springfield, Missouri. Qualified in 2005, 21 years ago. Practices with Mike Swann, MD, LLC, a 10-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Licensed in
MO
In the registry since
2006
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

3850 S National Ave Ste 705
Springfield, MO 65807-5239
Phone: (417) 900-3407
Fax: (417) 889-0476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 109 Pinehurst Dr, Branson, MO 65616-2796 — (417) 888-0858
  • 590 Birch Rd Ste 2c, Hollister, MO 65672-9607 — (417) 815-6737
  • 331 Hospital Dr Ste C, Lebanon, MO 65536-9251 — (417) 334-7200
  • 2200 E Cleveland St, Monett, MO 65708-6149 — (417) 900-3407
  • 1240 E Independence St Ste 200, Springfield, MO 65804-4201 — (417) 900-3407
  • 1240 E Independence St Ste 100, Springfield, MO 65804-4201 — (417) 900-3407

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2006010979 (MO)

Record details

NPI number1013944024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

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 Mike Swann, Md, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Springfield