MRS. GWENDOLYN BROYLES (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1497282008

MRS. GWENDOLYN BROYLES (PMHNP) is a healthcare provider. based in Osage beach, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 2016032658 (MO). The NPI Number for MRS. GWENDOLYN BROYLES (PMHNP) is 1497282008

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. GWENDOLYN BROYLES (PMHNP)
NPI
1497282008
Phone
(573) 302-0319
Address
840 PASSOVER RD
Enumeration Date
12 May 2017
Last Update Date
31 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733020319
Graduation Year
2016 (10 years ago)
PAC ID
6800134222
Group Practice PAC ID
2062649288
Professional Enrollment ID
I20190211001497
Address ID
MO650652834OS840XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MRS. GWENDOLYN BROYLES (PMHNP)

  • 840, Passover Road, Osage Beach, Camden County, Missouri, 65065, United States

    OSAGE BEACH, MO 650652834

    Phone: (573) 302-0319

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-01-27 • Largest payer in this snapshot: Indivior Inc. ($20).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$20
ABBVIE INC.$15
View all Open Payments →|Open Payments Risk Radar →

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: 2019-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190211001497INurse PractitionerMOTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8127$0
99238Hospital discharge day management, 30 minutes or less1411$0
90792Psychiatric diagnostic evaluation with medical services1212$0
View full utilization report →

Insurance plans in this area (ZIP 65065)

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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: 2062649288View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
O B S T E T R I C S/ G Y N E C O L O G YMO
-ID

Reviews

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Frequently asked questions

Does MRS. GWENDOLYN BROYLES (PMHNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. GWENDOLYN BROYLES (PMHNP) uses 1497282008.
Does the file indicate MRS. GWENDOLYN BROYLES (PMHNP) is practicing under active NPI?
Directory data currently reports MRS. GWENDOLYN BROYLES (PMHNP) as active.
What is MRS. GWENDOLYN BROYLES (PMHNP) best known for clinically?
Directory data describes MRS. GWENDOLYN BROYLES (PMHNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. GWENDOLYN BROYLES (PMHNP)?
MRS. GWENDOLYN BROYLES (PMHNP)'s geographic hint is Osage Beach, Missouri in our summary view.
Is the information about MRS. GWENDOLYN BROYLES (PMHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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