Individual provider Active NPI

Jennifer L. Essner, MD

  • Pediatrics Physician
  • Ozark, MO
National Provider Identifier
1528292216
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2009008958 Issued in MO
Practice address
5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone
(417) 269-2215
Fax
(417) 269-2427
NPI assigned
May 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2009008958 MO Primary

Addresses

Primary practice location

5100 N Towne Centre Dr
Ozark, MO 65721-7479

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 269-5712

Other identifiers 2

IdentifierTypeStateIssuer
209275304MedicaidMO
617889OtherMOANTHEM

Other names 1

  • Jennifer L Butler Former name

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
I20090601000449 MO Practitioner - Pediatric Medicine 0840349403 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jan 4, 2011 Accepting new patients
Lester E Cox Medical Centers CurrentSince Dec 7, 2020 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 4, 2011 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

501 N Old Wilderness Rd
Nixa, MO 65714
Phone (417) 269-2150

1741 S 15th St
Ozark, MO 65721
Phone (417) 269-2215

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1528292216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N TOWNE CENTRE DR",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217479",
            "telephone_number": "417-269-2215",
            "fax_number": "417-269-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSNER",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2009008958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209275304",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "617889",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BUTLER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ozark, MO

Sources for this page

Verify at the official NPI Registry.