Jason Erwin Obermann, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2022010977 Issued in MO

Practice address

411 3Rd St
Monett, MO 65708-2008

Phone

(417) 235-6610

NPI assigned

Apr 25, 2018

Sex

Male

Sole proprietor

No

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.

• Clark Community Mental Health Center

  • Community/Behavioral Health Agency
  • Monett, MO
  • NPI 1801807771

  MO

  Medicare reassignment Care Compare group NPD
• Clark Community Mentalhealth Center

  • Children's Substance Abuse Rehabilitation Facility
  • Monett, MO
  • NPI 1912337692
  NPD (past)

Specialty

Psychiatry

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Community Mental Health Center 25 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2026.

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1124516158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PIERCE CITY",
            "state": "MO",
            "postal_code": "657232100",
            "telephone_number": "417-235-6610",
            "fax_number": "417-943-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 3RD ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082008",
            "telephone_number": "417-235-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMANN",
        "first_name": "JASON",
        "middle_name": "ERWIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KS",
            "license": "94-09629",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2022010977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124516158",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny D Nestleroad, O.D.
• Ronald Francis Netzer, DC
• Sherri Jo Newell-Sorrell, OTR/L
• Aubrey A Nixon, LMT
• Linley O'Hara, RN
• Old Town Medical Equipment LLC
• Old Town Pharmacy LLC
• Old Town Pharmacy LLC
• Ozark Tri-County Health Care Consortium
• Paabs LLC

• All providers in Monett, MO
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.