Active NPI
James Wyatt Eikermann, DO
- Family Medicine Physician
- Rolla, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2023041824
- Practice address
- 1081 E 18TH St
Rolla, MO 65401-3398 - Phone
- (573) 426-4455
- NPI assigned
- Jul 1, 2022
- Last updated
- Jul 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2023041824 | MO | Primary |
Addresses
Primary practice location
1081 E 18TH St
Rolla, MO 65401-3398
Mailing address
1081 E 18TH St
Rolla, MO 65401-3398
Phone (572) 426-4455
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
165 Park Dr
Saint Robert, MO 65584-7860
Phone (573) 433-3559
408 S Franklin St
Cuba, MO 65453-1408
Phone (573) 426-4455
601 S McArthur St
Salem, MO 65560-2132
Phone (573) 426-4455
703 S Grand Ave
Salem, MO 65560-2132
Phone (573) 426-4455
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Missouri Community Health Center | Current | Accepting new patients | |
| South Central Missouri Community Health Center | Current | Accepting new patients |
Locations
1050 W 10th St
Ste 480
Rolla, MO 65401
Phone (573) 364-1900
1081 E 18th St
Rolla, MO 65401
Phone (573) 426-2407
165 Park Dr
Saint Robert, MO 65584
Phone (573) 433-3559
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Four Rivers Community Health Center
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1164669172
-
dba Four Rivers Community Health Center
- Federally Qualified Health Center (FQHC)
- Salem, MO
- NPI 1194615757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1154054708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 E 18TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013398",
"telephone_number": "572-426-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 E 18TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013398",
"telephone_number": "573-426-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIKERMANN",
"first_name": "JAMES",
"middle_name": "WYATT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2023041824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.