Jacob Martin Edge, DO
Individual provider Active NPI Internal Medicine Physician · Neosho, MO
NPI 1013438993 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1013438993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2017018496 (MO)
- Practice address
- 336 S Jefferson St
Neosho, MO 64850-1769 - Phone
- (417) 455-4200
- NPI assigned
- Jun 30, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freeman-Oak Hill Health System
Freeman Neosho Hospital
Practice addresses (Care Compare)
3202 McIntosh Cir
Suite LL03
Joplin, MO 64804-3646
Phone (417) 347-5000
336 S Jefferson St
Freeman Neosho Physician Group
Neosho, MO 64850-1769
Phone (417) 455-4200
Hospital & facility affiliations
- Amedisys Home Health of Missouri
- Phoenix Home Care and Hospice
- Integrity Home Care + Hospice
- Freeman Home Care Services
- Freeman Neosho Hospital
- Freeman Health System - Freeman West
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200610000846 | MO | Practitioner - Internal Medicine |
9931520335 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017018496 | MO | MD | Internal Medicine Physician |
Practice roles (5 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman Neosho Hospital | Internal Medicine | Current |
Accepting new patients |
| Freeman Neosho Hospital | Current |
Accepting new patients | |
| Freeman-Oak Hill Health System | Internal Medicine | Current |
Accepting new patients |
| Freeman Neosho Hospital | Current |
Accepting new patients | |
| Freeman-Oak Hill Health System | Past | Accepting new patients |
Locations
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
3202 McIntosh Cir
Ste LL3
Joplin, MO 64804
Phone (417) 347-6400
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200
113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078
1606 Olive St
Seneca, MO 64865
Phone (417) 776-5900
Networks
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IA HMO C-SNP
- IL PPO Downstate
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IA HMO
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2017018496 | MO | Yes |
Addresses
Primary practice location
336 S Jefferson St
Neosho, MO 64850-1769
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662
Other practice location 1
3202 McIntosh Cir Ste Ll03
Joplin, MO 64804-3699
Phone (417) 347-1095
Other providers in Neosho, MO
- Douglass Chiropractic LLC
- Jimmie L Douglass III
- Randolf J Dunn
- Tamara Ebbinghaus
- Kalli Edelman
- Katrina Marie Edie
- Jamie Emery
- Zachary M Endicott
- Gerald Wayne Englund
- Donald Erickson
All providers in Neosho, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.