1. Home
  2. Directory
  3. Missouri
  4. Bolivar
  5. General Acute Care Hospital
  6. NPI Profile

CITIZENS MEMORIAL HOSPITAL DISTRICT
NPI 1003981549
General Acute Care Hospital in Bolivar, MO

Active since November 21, 2006
4/5
Hospital Overall Rating
1500 N OAKLAND AVE, BOLIVAR, MO 65613(417) 326-6000(417) 328-6243 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Citizens Memorial Hospital District NPPES

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

CITIZENS MEMORIAL HOSPITAL DISTRICT (NPI 1003981549), doing business as Citizens Memorial Hospital, is a healthcare organization registered as a general acute care hospital in Bolivar, Missouri and active in the NPI registry since November 2006. The organization lists Renee Marie Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003981549
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameCITIZENS MEMORIAL HOSPITAL DISTRICT
Location Address1500 N OAKLAND AVEBolivar, MO 65613-3011
Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6000 · Fax (417) 328-6243
Phone(417) 326-6000
Fax(417) 328-6243
Organization SubpartNo
Authorized OfficialRenee Marie MeyerCfo · (417) 328-6258
Enumeration DateNovember 21, 2006
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1003981549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in MO · 313-24
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1500 N OAKLAND AVE, Bolivar, MO 65613
Open in Google Maps ↗

Other Names 1

Doing Business AsCitizens Memorial Hospital

Other Identifiers 1

Medicaid011752508MO

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Citizens Memorial Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

128

Medicare enrollment records show 128 clinicians reassign Medicare billing to Citizens Memorial Hospital District, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Emergency Medicine55
Certified Registered Nurse Anesthetist (CRNA)28
Nurse Practitioner13
Pathology12
Diagnostic Radiology6
Family Practice5
Internal Medicine3
Anesthesiology2
4 other specialties4

Nearest to this location (20)

See all 128
Garrett Alderfer, MD
Internal Medicine
NPI 1932424603
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 328-6000
✔ PECOS✔ Accepts MedicareSame address
Juan Nix, M.D.
Emergency Medicine
NPI 1508939661
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOS✔ Accepts MedicareSame address
Christina Otterness, DO
Pathology
NPI 1992091284
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 328-6036
✔ PECOS✔ Accepts MedicareSame address
Jacob Schrader, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1780314179
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ Accepts MedicareSame address
Jeffrey Smieshek, D.O.
Emergency Medicine
NPI 1669545729
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOSSame address
Paul Stortz, MD
Family Practice
NPI 1629268016
1120 S SPRINGFIELD AVE
Bolivar, MO 65613
(417) 326-7814
✔ PECOS✔ Accepts Medicare0.9 mi
Ronald Vance, M.D.
Family Practice
NPI 1588772248
1240 N BUTTERFIELD RD
Bolivar, MO 65613
(417) 326-6021
✔ PECOS✔ Accepts Medicare1.7 mi
Seong-Wook Seo, M.D.
Interventional Pain Management
NPI 1104213180
1155 W PARKVIEW ST STE 1C
Bolivar, MO 65613
(417) 326-7246
✔ PECOS✔ Accepts Medicare1.8 mi
Nicholas Locke, NP-C
Nurse Practitioner
NPI 1841889854
1160 W PARKVIEW ST
Bolivar, MO 65613
(417) 328-7373
✔ PECOS✔ Accepts Medicare1.8 mi
Mark Brecheisen, D.O.
Emergency Medicine
NPI 1740503416
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOS✔ Accepts Medicare1.8 mi
Jason Brooks, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205811924
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 777-6911
✔ Accepts Medicare1.8 mi
Ian Campbell
Certified Registered Nurse Anesthetist (CRNA)
NPI 1558258400
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ Accepts Medicare1.8 mi
Joshua Condren
Certified Registered Nurse Anesthetist (CRNA)
NPI 1992565840
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ Accepts Medicare1.8 mi
Craig Dunseth, M.D.
Pathology
NPI 1942647946
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOS✔ Accepts Medicare1.8 mi
Nathaniel Pearl, DO
Emergency Medicine
NPI 1063975142
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOS✔ Accepts Medicare1.8 mi
Jacob Podleski
Anesthesiology
NPI 1003252503
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOS✔ Accepts Medicare1.8 mi
Emily Wickersham, DO
Pathology
NPI 1093175358
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOS✔ Accepts Medicare1.8 mi
Ryan Clark, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184903460
1500 N OAKLAND
Bolivar, MO 65613
(417) 328-7705
✔ Accepts Medicare1.8 mi
Zachary Carel, MD
Emergency Medicine
NPI 1033869276
1500 N OAKLAND AVE
Bolivar, MO 65613
(417) 326-6000
✔ PECOS1.9 mi
Richard Adams, PSYD
Clinical Psychologist
NPI 1205925427
714 N POMME DE TERRE AVE
Bolivar, MO 65613
(417) 326-7272
✔ PECOS2.1 mi
See all 128 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Citizens Memorial Hospital (CMS certification number 260195), from CMS Care Compare.

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS Overall Rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County · (417) 326-6000
Emergency services Birthing friendly

Patient Experience

HCAHPS patient survey · Jan 2023 – Dec 2023
4/5 summary rating
Nurse communication
3/5
Doctor communication
4/5
Staff responsiveness
4/5
Communication about medicines
3/5
Discharge information
4/5
Care transition
3/5
Cleanliness
4/5
Quietness
2/5
Overall hospital rating
4/5
Recommend hospital
4/5
Star ratings summarize responses from patients surveyed after discharge, collected through the CMS HCAHPS program.

Complications & Deaths 18

Rate of complications for hip/knee replacement patients
3.3 No different than national
Death rate for heart attack patients
14.9% No different than national
Death rate for COPD patients
12% No different than national
Death rate for heart failure patients
16.8% No different than national
Death rate for pneumonia patients
20.3% No different than national
Death rate for stroke patients
Cases too small to report

Infections 3

Catheter Associated Urinary Tract Infections (ICU + select Wards)
0 observed cases · 1.027 predicted · 2,015 patient days
0.000 No different than national
SSI - Colon Surgery
0 observed cases · 1.249 predicted · 44 patient days
0.000 No different than national
Clostridium Difficile (C.Diff)
0 observed cases · 2.18 predicted · 7,555 patient days
0.000 No different than national

Unplanned Hospital Visits 13

Hospital return days for heart attack patients
66 days per 100 discharges
Hospital return days for heart failure patients
72 fewer days than average per 100 discharges
Hospital return days for pneumonia patients
74 days per 100 discharges
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
607 No different than national
Rate of inpatient admissions for patients receiving outpatient chemotherapy
Cases too small to report
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
Cases too small to report

Timely & Effective Care 17

Emergency department volume
Low
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations
2.3%
Healthcare workers given influenza vaccination
90%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
179 minutes
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
300 minutes
Left before being seen
4%

Maternal Health 2

Elective Delivery
47%
Maternal Morbidity Structural Measure
Yes

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 Citizens Memorial Hospital District's NPI number?

The NPI number for Citizens Memorial Hospital District is 1003981549. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is doing business as Citizens Memorial Hospital.

Where is Citizens Memorial Hospital District located?

Citizens Memorial Hospital District is located at 1500 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 326-6000.

What is Citizens Memorial Hospital District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Citizens Memorial Hospital District enrolled in Medicare?

Yes. Citizens Memorial Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Citizens Memorial Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 128 clinicians in 12 Medicare specialties reassign their Medicare billing to Citizens Memorial Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (55), Certified Registered Nurse Anesthetist (CRNA) (28) and Nurse Practitioner (13). Of these, 5 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Citizens Memorial Hospital District a Medicare-certified hospital?

Yes. Citizens Memorial Hospital is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.

What quality rating does Citizens Memorial Hospital District have?

CMS rates Citizens Memorial Hospital 4 out of 5 stars overall on Care Compare, based on measures of safety, patient experience and outcomes. The full measure detail is in the Hospital Quality Ratings section above.

What insurance does Citizens Memorial Hospital District accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Citizens Memorial Hospital District 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 Citizens Memorial Hospital District was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.