SALLY JURGENSMEYER APRN WHNP-BC
NPI 1053165183
Nurse Practitioner - Women's Health in Ozark, MO

Active since April 15, 2024Opted out of Medicare · through Apr 29, 2028
1500 W STATE HIGHWAY J, OZARK, MO 65721(417) 485-5700 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2024, Apr 17, 2024 (2 updates tracked since 2024).

About Sally Jurgensmeyer Aprn Whnp-bc NPPES

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

SALLY JURGENSMEYER APRN WHNP-BC (NPI 1053165183) is an individual women's health provider in Ozark, Missouri, licensed in Missouri (2024013578) and active in the NPI registry since April 2024. She has opted out of Medicare through April 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053165183
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSALLY JURGENSMEYERCredential: APRN WHNP-BC
Location Address1500 W STATE HIGHWAY JOzark, MO 65721-7425
Mailing Address1255 E Wayland StSpringfield, MO 65804-3167 · (417) 619-2369
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1053165183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in MO · 2024013578
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 2024013578 (MO)
1500 W STATE HIGHWAY J, Ozark, MO 65721

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Sally Jurgensmeyer Aprn Whnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 29, 2024 through April 29, 2028.

Opt-Out Effective DateApril 29, 2024
Opt-Out In Effect ThroughApril 29, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65721 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 4

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

Emergency Medicine
1500 W STATE HIGHWAY J
OZARK, MO 65721
Family Medicine
1500 W STATE HIGHWAY J
OZARK, MO 65721
Nurse Practitioner (Family)
1500 W STATE HIGHWAY J
OZARK, MO 65721
Obstetrics & Gynecology
1500 W STATE HIGHWAY J
OZARK, MO 65721

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 Sally Jurgensmeyer's NPI number?

The NPI number for Sally Jurgensmeyer is 1053165183. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Sally Jurgensmeyer located?

Sally Jurgensmeyer practices at 1500 W State Highway J, Ozark, MO 65721. The listed phone number is (417) 485-5700.

What is Sally Jurgensmeyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Sally Jurgensmeyer enrolled in Medicare?

No. Sally Jurgensmeyer has opted out of Medicare through April 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sally Jurgensmeyer was last updated on April 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.