MS. JODY L STANTON (PAC, ATC) – Physician Assistant, NPI 1780684753

MS. JODY L STANTON (PAC, ATC) is a healthcare provider. based in Branson, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC, ATC. They hold a License No. 113614 (MO). The NPI Number for MS. JODY L STANTON (PAC, ATC) is 1780684753

Main info

Female
Accepts Medicare Assignment
Name
MS. JODY L STANTON (PAC, ATC)
NPI
1780684753
Phone
(417) 335-7555
Address
121 CAHILL RD STE 201
Enumeration Date
29 July 2005
Last Update Date
4 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
null (2026 years ago)
PAC ID
7315985512
Group Practice PAC ID
8628092897
Professional Enrollment ID
I20200331001764
Address ID
MO658075155SP1001XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for MS. JODY L STANTON (PAC, ATC)

  • 201, Cahill Road, Branson, Taney County, Missouri, 65616, United States

    BRANSON, MO 656161911

    Phone: (417) 335-7555

    Fax: (417) 335-7529

    Type: Location

  • PO BOX 505673

    SAINT LOUIS, MO 631505673

    Phone: (417) 730-6430

    Fax: (417) 269-7567

    Type: Mailing

  • 1601 Branson Hills Pkwy Ste 120

    Branson, MO 656169908

    Phone: (417) 335-7555

    Fax: (417) 335-7529

    Type: Location

  • 1499 N Robberson Ave # K500

    Springfield, MO 658021979

    Phone: (000) 000-0000

    Type: Location

  • 3555 S NATIONAL AVE

    SPRINGFIELD, MO 658077310

    Phone: (000) 000-0000

    Type: Location

  • Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg

    SPRINGFIELD, MO 658084046

    Phone: (417) 269-7241

    Fax: (417) 269-7567

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Boston Scientific Corporation ($44).

Total Amount

$59

General + Research + Ownership

Payments

3

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-03-31

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
I20200331001764IPhysician AssistantMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 8628092897View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIL
-NC
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
General SurgeryMO
O T O L A R Y N G O L O G YWA
N E P H R O L O G YMO
Physician AssistantMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is MS. JODY L STANTON (PAC, ATC) listed with a National Provider Identifier?
Yes — MS. JODY L STANTON (PAC, ATC) has NPI 1780684753 on file in the registry.
Is MS. JODY L STANTON (PAC, ATC) still an active registrant?
MS. JODY L STANTON (PAC, ATC) carries an active NPI according to the public dataset.
What clinical focus is listed for MS. JODY L STANTON (PAC, ATC)?
At a glance, MS. JODY L STANTON (PAC, ATC) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MS. JODY L STANTON (PAC, ATC) located near Branson?
MS. JODY L STANTON (PAC, ATC) currently maps to Branson, Missouri in this extract.
Does MS. JODY L STANTON (PAC, ATC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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