Jill Rogers
Individual provider Active NPI Family Nurse Practitioner · Pineville, MO
NPI 1851744718 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1851744718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2016019748 (MO)
- Practice address
- 5265 S Business Highway 71 Ste I&J
Pineville, MO 64856-8505 - Phone
- (417) 223-4290
- Fax
- (417) 223-4299
- NPI assigned
- Jul 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sgoh Acquisition Inc
Practice addresses (Care Compare)
109 N Broadway St
South West City, MO 64863-9417
Phone (417) 762-3287
5265 S Business Hwy 71
Suite Iandj
Pineville, MO 64856-8505
Phone (417) 223-4290
912B State Hwy 59
Goodman, MO 64843-8252
Phone (417) 364-8300
Hospital & facility affiliations
- Ozarks Community Hospital of Gravette
- Mercy Hospital Joplin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160819000048 | MO | Practitioner - Nurse Practitioner | 5092000760 | Reassigns benefits to 1 organization |
| I20170601000376 | OK | Practitioner - Nurse Practitioner | 5092000760 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016019748 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Oklahoma PC | Current |
Accepting new patients | |
| Primrose Nephrology, Inc. | Current | Accepting new patients | |
| Sgoh Acquisition Inc | Past | Accepting new patients |
Locations
1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
Interoperability endpoints
- jrogers@ochhospital.hin.us
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016019748 | MO | Yes |
Addresses
Primary practice location
5265 S Business Highway 71 Ste I&J
Pineville, MO 64856-8505
Mailing address
PO Box 265
Pineville, MO 64856-0265
Phone (417) 223-4290
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JROGERS@OCHHOSPITAL.HIN.US |
Other providers in Pineville, MO
- Tony Hieu Nguyen
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Tamon Berber Paige
- Teresa N Randolph
- Sgoh Acquisition, Inc.
- Norman Alan Smith
- State Line Chiropractic Clinic LLC
- Wal-Mart Stores East LP
- Wal-Mart Stores East LP
All providers in Pineville, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.