Individual provider Active NPI

James Wyatt Eikermann, DO

  • Family Medicine Physician
  • Rolla, MO
National Provider Identifier
1154054708
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023041824 Issued in MO
Practice address
1081 E 18TH St
Rolla, MO 65401-3398
Phone
(573) 426-4455
NPI assigned
Jul 1, 2022
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730002169 MO Practitioner - Family Practice 4688055072 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Missouri Community Health Center CurrentSince Jul 1, 2025 Accepting new patients
South Central Missouri Community Health Center CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.