Individual provider Active NPI

Jeannie Rhodes, DO

  • Emergency Medicine Physician
  • Fort Leonard Wood, MO
National Provider Identifier
1861451288
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P5218 Issued in TX
Practice address
General Leonard Wood Army Community Hospital
4430 Missouri Ave
Ft. Leonard Wood, MO 65473
Phone
(573) 596-0417
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X P5218 TX Primary

Addresses

Primary practice location

General Leonard Wood Army Community Hospital
4430 Missouri Ave
Ft. Leonard Wood, MO 65473

Mailing address

Glwach, 4430 Missouri Ave, Box 1267
Attn: MCXP-CCS-CR
Ft. Leonard Wood, MO 65473
Phone (573) 596-0417

Other names 1

  • Jeannie Owens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130517000130 TX Practitioner - Emergency MedicinePractitioner - Family Practice 8527971498 Reassigns benefits to 5 organizations
I20240108004163 MO Practitioner - Emergency Medicine 8527971498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians

Practice addresses (Care Compare)

751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Phone (573) 468-4186

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.89 of 100Reported as group
Quality
50.25
Promoting interoperability
90
Improvement activities
40
Cost
81.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
P5218TXMDEmergency Medicine Physician
3872OKMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Specialists Emergency Medicine CurrentSince Nov 11, 2022 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Feb 1, 2021 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jun 22, 2020 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 22, 2020 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Dec 31, 2024 Accepting new patients
Emergency Staffing Solutions of West Texas LLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Seminole Hospital District of Gaines County Texas Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
United States Army PastSince Feb 19, 2023 Accepting new patients
Norstar Emergency Physicians Past Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Organizations & group practices 9

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 2

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1861451288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GLWACH, 4430 MISSOURI AVE, BOX 1267",
            "address_2": "ATTN: MCXP-CCS-CR",
            "city": "FT. LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL",
            "address_2": "4430 MISSOURI AVE",
            "city": "FT. LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "JEANNIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P5218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "OWENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Leonard Wood, MO

Sources for this page

Verify at the official NPI Registry.