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Active NPI 1679431142 Individual Practitioner Male Practitioner

Dylan Michael Declue

Physician Assistant • Columbia, MO

Professional Overview & Biography Verified Profile Summary

Dylan Declue is a registered healthcare professional specializing in Physician Assistant in Columbia, MO. Practice services are available at 1211 E BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1211 E Broadway

Columbia, MO 65201

Telephone 5734422211

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Columbia, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
175 Specialists

Practicing in Columbia, MO (1802 Statewide)

Telehealth Adoption Rate
8.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Madalyn Roller

Physician Assistant

NPI 1023839735
Mercedes Vomund

Physician Assistant

NPI 1134080823
Nada Abusalim , PA-C

Physician Assistant

NPI 1194434084

Physician Assistant (Certified)

Anu Kc , PA-S

Student in an Organized Health Care Education/Training Program

NPI 1275457426

PAS

Lauren Anderson

Physician Assistant

NPI 1336000504
Emma Becker

Student in an Organized Health Care Education/Training Program

NPI 1366366759

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 13, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2026

Registered at 1211 E BROADWAY, COLUMBIA, MO 65201 (Tel: 5734422211)

📍
Updated Business Mailing Address January 13, 2026

Registered at 1211 E BROADWAY, COLUMBIA, MO 65201

👤
Provider Name / Credentials Updated January 13, 2026

Recorded as DYLAN DECLUE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2026

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 13, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679431142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2026
Last Update: January 13, 2026
Sole Proprietor: No

Mailing Address

1211 E Broadway

Columbia, MO 65201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.