Jepchirchir Mutwol, is a medicare enrolled "Anesthesiology" in Springfield, Missouri. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Ozark Anesthesia Associates Inc and her current practice location is
3801 S National Ave, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 269-6000.
Jepchirchir Mutwol is licensed to practice in Missouri (license number 2025023097) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174410534.
Provider's Profile
| Full Name | Jepchirchir Mutwol |
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| Gender | Female |
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| Speciality | Anesthesiology Assistant |
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| Experience | 1 Years |
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| Location | 3801 S National Ave, Springfield, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jepchirchir Mutwol graduated from nursing school in 2025
NPI Data:
- NPI Number: 1174410534
- Provider Enumeration Date: 06/19/2025
- Last Update Date: 09/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 0345749586
- Enrollment ID: I20250815001668
Medical Identifiers
Medical identifiers for Jepchirchir Mutwol such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174410534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 2025023097 (Missouri) | Secondary |
| 207L00000X | Anesthesiology | 2025023097 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ozark Anesthesia Associates Inc | 1850290149 | 86 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jepchirchir Mutwol allows following entities to bill medicare on her behalf.
| Entity Name | Ozark Anesthesia Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831109586
PECOS PAC ID: 1850290149
Enrollment ID: O20041109000614 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jepchirchir Mutwol is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jepchirchir Mutwol,
2005 W Chesterfield Blvd Apt 203,
Springfield, MO 65807-8917
Ph: (682) 329-0961 | Jepchirchir Mutwol,
3801 S National Ave,
Springfield, MO 65807-5297
Ph: (417) 269-6000 |
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