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

Mrs. Betty Sisco, PA

Individual provider Physician Assistant · NPI 1932269115

Mrs. Betty Sisco, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2006, 20 years ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
20
Licensed in
MO
In the registry since
2006
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

10012 Kennerly Rd Ste 400
Saint Louis, MO 63128-2197
Phone: (314) 543-5999
Fax: (314) 543-5994
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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 2006036685 (MO)

Record details

NPI number1932269115
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mercy Clinic Surgical Specialists Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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