MS. VICKIE RENEE PENCE (MS,PA) – Physician Assistant, NPI 1336199363

MS. VICKIE RENEE PENCE (MS,PA) is a healthcare provider. based in Branson, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS,PA. They hold a License No. PA965 (NV). The NPI Number for MS. VICKIE RENEE PENCE (MS,PA) is 1336199363

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. VICKIE RENEE PENCE (MS,PA)
NPI
1336199363
Phone
(417) 335-7000
Address
525 Branson Landing Blvd
Enumeration Date
11 May 2006
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
9183337200
Graduation Year
1997 (29 years ago)
PAC ID
9133110612
Group Practice PAC ID
9931562956
Professional Enrollment ID
I20250616000205
Address ID
OK740062411BA3500XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MS. VICKIE RENEE PENCE (MS,PA)

  • 525 Branson Landing Blvd

    Branson, MO 656162052

    Phone: (417) 335-7000

    Type: Location

  • Columbia Post Office, 6801, Oak Hall Lane, Howard County, Maryland, 21045, United States

    COLUMBIA, MO 652057687

    Phone: (573) 882-2259

    Type: Mailing

  • Hospital Drive, Columbia, Boone County, Missouri, 65212, United States

    COLUMBIA, MO 652120001

    Phone: (573) 882-1662

    Fax: (573) 884-7318

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110105000701IPhysician AssistantMOTBD
I20250304002829IPhysician AssistantVATBD
I20250516002886IPhysician AssistantDCTBD
I20250616000205IPhysician AssistantOKTBD
I20250918001835IPhysician AssistantMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2624$0
View full utilization report →

Insurance plans in this area (ZIP 65616)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931562956View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OK
Emergency MedicineOK
Family PracticePA
Nurse PractitionerKS
Nurse PractitionerOK
Internal MedicineNY
Family PracticeOK
Physician AssistantOK
Internal MedicineOK
Internal MedicineOK

Reviews

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Frequently asked questions

Does MS. VICKIE RENEE PENCE (MS,PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. VICKIE RENEE PENCE (MS,PA) uses 1336199363.
Can I rely on MS. VICKIE RENEE PENCE (MS,PA) being an active provider?
As of the registry snapshot, MS. VICKIE RENEE PENCE (MS,PA) is marked active.
What is MS. VICKIE RENEE PENCE (MS,PA)'s specialty?
The listing groups MS. VICKIE RENEE PENCE (MS,PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MS. VICKIE RENEE PENCE (MS,PA) based?
MS. VICKIE RENEE PENCE (MS,PA) is tied to Branson, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about MS. VICKIE RENEE PENCE (MS,PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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