1. Home
  2. Directory
  3. Missouri
  4. Bolivar
  5. Obstetrics Gynecology
  6. NPI Profile

DR. STACI DAWN ROGERS M.D.
NPI 1043428121
Obstetrics & Gynecology in Bolivar, MO

Active since May 20, 2007PECOS Enrolled
1195 N OAKLAND AVE, BOLIVAR, MO 65613(417) 777-8131(417) 777-8892 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2026, Dec 8, 2023, Jan 28, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Staci Dawn Rogers M.d. NPPES

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

DR. STACI DAWN ROGERS M.D. (NPI 1043428121) is an individual obstetrics & gynecology provider in Bolivar, Missouri, licensed in Missouri (2008002542) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1043428121
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. STACI DAWN ROGERSCredential: M.D.
Location Address1195 N OAKLAND AVEBolivar, MO 65613-8095
Mailing Address1500 N Oakland AveBolivar, MO 65613-3099 · (417) 326-6000
Phone(417) 777-8131
Fax(417) 777-8892
Sole ProprietorNo
Enumeration DateMay 20, 2007
Last NPPES UpdateAugust 24, 20264 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1043428121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · 2008002542
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1195 N OAKLAND AVE, Bolivar, MO 65613
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Staci Dawn Niemoth M.d.

Secondary Practice Location 1

Location 13800 S National Ave Ste 700Springfield, MO 65807-5279 · Phone (417) 269-8817 · Fax (417) 269-8744

Other Identifiers 1

Medicaid209118504MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Staci Dawn Rogers M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Staci Rogers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Citizens Memorial Healthcare
1.7 mi
Surgery
1500 N OAKLAND AVE
Bolivar, MO 65613
  • Reassigned Medicare billing, Missouri enrollment
  • 249 clinicians in this Medicare group
NPI 1568566131 (417) 326-6000
Lester E. Cox Medical Centers
28 mi
Neurology
1423 N JEFFERSON AVE STE B200
Springfield, MO 65802
  • Reassigned Medicare billing, Missouri enrollment
  • 457 clinicians in this Medicare group
NPI 1740416098 (417) 269-6891

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

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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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 9

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

JAMES G LIESEN DO
Pediatrics
1195 N OAKLAND AVE, SUITE 2
BOLIVAR, MO 65613
Polk County (417) 777-2121
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

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 Staci Rogers's NPI number?

The NPI number for Staci Rogers is 1043428121. It was assigned to this individual provider in the NPPES registry on May 20, 2007. The provider is also known as Dr. Staci Dawn Niemoth M.D..

Where is Staci Rogers located?

Staci Rogers practices at 1195 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 777-8131.

What is Staci Rogers's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Staci Rogers enrolled in Medicare?

Yes. Staci Rogers is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Staci Rogers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Rogers reassigns Medicare benefits to 2 organizations: Citizens Memorial Healthcare (Bolivar, MO) and Lester E. Cox Medical Centers (Springfield, MO). Each 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 Staci Rogers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Staci Rogers was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.