Jennifer Acosta, PA-C
Individual provider Active NPI Medical Physician Assistant · Springfield, MO
NPI 1932318367 · NPPES record last updated Oct 19, 2023
Key facts
- NPI
- 1932318367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2016023555 (MO)
- Practice address
- 4818 S Tujunga Dr
Springfield, MO 65810-1125 - Phone
- (785) 250-7910
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.52 of 100
- Quality
- 61.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.77
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topeka Allergy & Asthma Clinic, P.a. | Past |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2016023555 | MO | Yes |
Addresses
Primary practice location
4818 S Tujunga Dr
Springfield, MO 65810-1125
Mailing address
4818 S Tujunga Dr
Springfield, MO 65810-1125
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220033618 | Medicaid | MO |
Other providers in Springfield, MO
- Achieving Your Best
- Mark L Acker
- Jacob J Ackerson
- Jennifer Acord
- Richard Acord
- Jessica L Acre
- Active Life Chiropractic LLC
- McKenzie Adam-Hager
- Balkozar S Adam
- Taylor Adam
All providers in Springfield, MO · Medical Physician Assistant 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 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- 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.