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JAMES G LIESEN DO
NPI 1003815291
Pediatrics in Bolivar, MO

Active since July 19, 2005PECOS Enrolled
1195 N OAKLAND AVE, SUITE 2, BOLIVAR, MO 65613(417) 777-2121(417) 777-2854 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James G Liesen Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES G LIESEN DO (NPI 1003815291) is an individual pediatrics provider in Bolivar, Missouri, licensed in Missouri (2008032320) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003815291
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES G LIESENCredential: DO
Location Address1195 N OAKLAND AVE, SUITE 2Bolivar, MO 65613-8095
Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 328-6501 · Fax (417) 328-6338
Phone(417) 777-2121
Fax(417) 777-2854
Sole ProprietorNo
Enumeration DateJuly 19, 2005
Last NPPES UpdateFebruary 23, 2017
✔ NPI 1003815291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MO · 2008032320✔ Licensed in WV · 2101
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1195 N OAKLAND AVE, Bolivar, MO 65613
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN152360045MO
Medicaid3810002037WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James G Liesen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASHLEY MICHELE LANE D.O.
Obstetrics & Gynecology
1195 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 777-8131
NICOLE MARIE TWENTER LPC
Counselor (Professional)
1195 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (660) 621-4451
DR. ANGELA D COLLINS MD
Pediatrics
1195 N OAKLAND AVE, SUITE 2
BOLIVAR, MO 65613
Polk County (417) 777-2121
JEFFREY RANDALL FRERKING
Pediatrics
1195 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 777-2121
ANNA ALESHIRE PA-C
Physician Assistant
1195 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 777-8131
BRIANA GOMEZ MD
Obstetrics & Gynecology
1195 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 777-8131
DR. SHANNON LEIGH CALVERT MD
Pediatrics
1195 N OAKLAND AVE, SUITE 2
BOLIVAR, MO 65613
Polk County (417) 777-2121
CITIZENS MEMORIAL HEALTHCARE
Clinic/Center (Rural Health)
1195 N OAKLAND AVE, SUITE 2
BOLIVAR, MO 65613
Polk County (417) 777-2121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Liesen's NPI number?

The NPI number for James Liesen is 1003815291. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is James Liesen located?

James Liesen practices at 1195 N Oakland Ave Suite 2, Bolivar, MO 65613. The listed phone number is (417) 777-2121.

What is James Liesen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Liesen enrolled in Medicare?

Yes. James Liesen is registered in the Medicare PECOS enrollment system.

What insurance does James Liesen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list James Liesen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Liesen was last updated on February 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.