Staci Dawn Rogers, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2008002542 Issued in MO

Practice address

1195 N Oakland Ave
Bolivar, MO 65613-8095

Phone

(417) 777-8131

Fax

(417) 777-8892

NPI assigned

May 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Staci Dawn Niemoth Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

81.52 of 100Reported as group

Quality

61.64

Promoting interoperability

100

Improvement activities

40

Cost

76.77

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: staci.niemoth@cernerdirect.coxhealth.com

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 25

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Calvert City, KY
  • NPI 1003384694

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Sonora, KY
  • NPI 1033714571

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Barbourville, KY
  • NPI 1184119398

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Bardstown, KY
  • NPI 1194320630

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Murray, KY
  • NPI 1194471045

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Salem, IN
  • NPI 1225633761

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Lancaster, KY
  • NPI 1346946100

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Princeton, KY
  • NPI 1447728043

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Scottsburg, IN
  • NPI 1467057042

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Benton, KY
  • NPI 1487210654

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
  • NPI 1487300331

  Corporate Director

  CMS ownership
• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1518360296

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Citizens Memorial Healthcare

  • Surgery Physician
  • Bolivar, MO
  • NPI 1568566131

  MO, Obstetrics & Gynecology

  Medicare reassignment NPD
• Lester E. Cox Medical Centers

  • Family Medicine Physician
  • Shell Knob, MO
  • NPI 1538334396

  MO

  Medicare reassignment NPD
• Citizens Memorial Healthcare

  • Rural Health Clinic/Center
  • Willard, MO
  • NPI 1568127397
  NPD
• Lester E Cox Medical Centers

  • Neurology Physician
  • Springfield, MO
  • NPI 1023763414
  NPD
• Lester E Cox Medical Centers

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1467667980

  Obstetrics & Gynecology

  NPD
• Ferrell Duncan Clinic, Inc

  • Multi-Specialty Clinic/Center
  • Springfield, MO
  • NPI 1326099383
  NPD (past)
• Lester E Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1043428121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133099",
            "telephone_number": "417-326-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656138095",
            "telephone_number": "417-777-8131",
            "fax_number": "417-777-8892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S National Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075279",
            "country_code": "US",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "STACI",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2008002542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209118504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "NIEMOTH",
            "middle_name": "DAWN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly A Robertson, LCSW
• Matthew Joel Robertson, PTA
• Sandra Robertson
• Brian R Robinson, DO
• David B Rogers, M.D.
• Rohrbach Services for Families
• Melissa Rohrbach, LPC, CRADC, NCC
• Tiffany R Ross
• Sarah Elizabeth Rotramel, CPHT
• Chengjie Zhao Rude, APRN, FNP-BC

• All providers in Bolivar, MO
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.