Nathaniel Alan Pearl, DO
Individual provider Active NPI Emergency Medicine Physician · Bolivar, MO
NPI 1063975142 · NPPES record last updated Apr 2, 2026
Key facts
- NPI
- 1063975142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2022012619 (MO)
- Practice address
- 1500 N Oakland Ave
Bolivar, MO 65613-3099 - Phone
- (417) 326-6000
- NPI assigned
- Apr 7, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Citizens Memorial Hospital District
Practice addresses (Care Compare)
1500 N Oakland Ave
Citizens Memorial Hospital
Bolivar, MO 65613-3011
Phone (417) 326-6000
Hospital & facility affiliations
- Citizens Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 100
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 85.3
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 |
|---|---|---|---|---|
| I20221109000462 | MO | Practitioner - Emergency Medicine | 6305213034 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022012619 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Memorial Hospital District | Current |
Accepting new patients | |
| Citizens Memorial Hospital District | Emergency Medicine | Current |
Accepting new patients |
Locations
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 2022012619 | MO | Yes |
Addresses
Primary practice location
1500 N Oakland Ave
Bolivar, MO 65613-3099
Mailing address
6236 S Hunters TRL
Springfield, MO 65810-1950
Phone (417) 522-5734
Other providers in Bolivar, MO
- Robin L Parsons
- Karona Paschke
- Caressa R Patel
- Naiya Patel
- Casey Marie Peak
- Xavier Jacob Lee Pearson
- Jonna Marie Pendergrass
- Malissa Phillips
- Charles Allan Pitts
- Jacob Podleski
All providers in Bolivar, MO · Emergency 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 Apr 2, 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.