Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NATHANIEL TJERNAGEL DPT, PT
NPI 1063337301
Physical Therapist in Lees Summit, MO

Active since August 13, 2026Accepts Medicare Assignment
1174 NE DOUGLAS ST, LEES SUMMIT, MO 64086(816) 875-3884(816) 524-5080 Get Directions Write a Review

NPPES record added: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nathaniel Tjernagel Dpt, Pt NPPES

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

NATHANIEL TJERNAGEL DPT, PT (NPI 1063337301) is an individual physical therapist in Lees Summit, Missouri, licensed in Missouri (2026038778) and active in the NPI registry since August 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1063337301
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNATHANIEL TJERNAGELCredential: DPT, PT
Location Address1174 NE DOUGLAS STLees Summit, MO 64086-4602
Mailing AddressPo Box 650020Dallas, TX 75265-0020 · (816) 875-3884 · Fax (816) 524-5080
Fax(816) 524-5080
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 13, 2026
NPPES CertifiedAugust 13, 2026
✔ NPI 1063337301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MO · 2026038778
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1174 NE DOUGLAS ST, Lees Summit, MO 64086

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Tjernagel Dpt, Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799244414
PECOS Enrollment IDI20260824002488

Medicare Billing Reassignment

Medicare enrollment records show Nathaniel Tjernagel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
6400 GLENWOOD ST, SUITE 111
Overland Park, KS 66202
  • Reassigned Medicare billing, Missouri enrollment
  • 60 clinicians in this Medicare group

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 64086 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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 5

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

Durable Medical Equipment & Medical Supplies
1174 NE DOUGLAS ST
LEES SUMMIT, MO 64086
Occupational Therapist
1174 NE DOUGLAS ST
LEES SUMMIT, MO 64086
Physical Therapist
1174 NE DOUGLAS ST
LEES SUMMIT, MO 64086
Physical Therapist
1174 NE DOUGLAS ST
LEES SUMMIT, MO 64086
Physical Therapist
1174 NE DOUGLAS ST
LEES SUMMIT, MO 64086

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 Nathaniel Tjernagel's NPI number?

The NPI number for Nathaniel Tjernagel is 1063337301. It was assigned to this individual provider in the NPPES registry on August 13, 2026.

Where is Nathaniel Tjernagel located?

Nathaniel Tjernagel practices at 1174 NE Douglas St, Lees Summit, MO 64086. The listed phone number is (816) 875-3884.

What is Nathaniel Tjernagel's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nathaniel Tjernagel enrolled in Medicare?

Yes. Nathaniel Tjernagel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nathaniel Tjernagel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Tjernagel reassigns Medicare benefits to Arc Physical Therapy Plus LP (Overland Park, KS). The 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 Nathaniel Tjernagel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel Tjernagel accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Nathaniel Tjernagel 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 Nathaniel Tjernagel was last updated on August 13, 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.