Individual provider Active NPI

Jesse Micheal Stokke, DO

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MO
National Provider Identifier
1770045528
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2024032650 Issued in MO
Practice address
3801 S National Ave Ste 900
Springfield, MO 65807-5210
Phone
(417) 885-3888
Fax
(417) 881-7268
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2024032650 MO Primary

Addresses

Primary practice location

3801 S National Ave Ste 900
Springfield, MO 65807-5210

Mailing address

1411 E Primrose St Ste C
Springfield, MO 65804-4377
Phone (417) 885-3888

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
I20240925002879 MO Practitioner - Physical Medicine and Rehabilitation 9739411281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Neurological and Spine InstituteGroup PAC ID 3375722945, 15 clinicians

Practice addresses (Care Compare)

3801 S National Ave
Suite 900
Springfield, MO 65807-5210
Phone (417) 885-3888

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094

Merit-based Incentive Payment System (MIPS)

Final score
82.21 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
65.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Neurological and Spine Institute CurrentSince Aug 19, 2024 Accepting new patients
Springfield Neurological and Spine Institute CurrentSince Aug 19, 2024 Accepting new patients
Springfield Neurological and Spine Institute Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1411 E Primrose St
Ste C
Springfield, MO 65804
Phone (417) 882-1207

2900 S National Ave
Springfield, MO 65804
Phone (417) 269-1499

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Ste 900
Springfield, MO 65807
Phone (417) 269-2710

3801 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 882-1207

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1770045528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 E PRIMROSE ST STE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044377",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE STE 900",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKKE",
        "first_name": "JESSE",
        "middle_name": "MICHEAL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2024032650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.