1. Home
  2. Directory
  3. Missouri
  4. Nevada
  5. Dentist
  6. NPI Profile

ANNE KESLINE JEAN DMD
NPI 1093635757
Dentist - General Practice in Nevada, MO

Active since July 21, 2026PECOS Enrolled
301 W AUSTIN BLVD, NEVADA, MO 64772(844) 853-8937(660) 890-8116 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Anne Kesline Jean Dmd NPPES

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

ANNE KESLINE JEAN DMD (NPI 1093635757) is an individual general practice provider in Nevada, Missouri, licensed in Missouri (2026033984) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1093635757
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameANNE KESLINE JEANCredential: DMD
Location Address301 W AUSTIN BLVDNevada, MO 64772-3124
Mailing Address1800 CommunityClinton, MO 64735-8804 · (844) 853-8937 · Fax (660) 890-8116
Phone(844) 853-8937
Fax(660) 890-8116
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1093635757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2026033984
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
301 W AUSTIN BLVD, Nevada, MO 64772
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne Kesline Jean Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779049853
PECOS Enrollment IDI20260729001705
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 Reassignment

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

Compass Health, Inc
50 mi
Community/Behavioral Health
1800 COMMUNITY
Clinton, MO 64735
  • Reassigned Medicare billing, Missouri enrollment
  • 968 clinicians in this Medicare group
NPI 1285619494 (660) 885-8131

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 64772 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
$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 6

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

RAZHAN JERRY DMD
Dentist
301 W AUSTIN BLVD
NEVADA, MO 64772
Vernon County (844) 853-8937
COMPASS HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
301 W AUSTIN BLVD
NEVADA, MO 64772
Vernon County (844) 853-8937
ESTHER STETSON DDS
Dentist (General Practice)
301 W AUSTIN BLVD
NEVADA, MO 64772
Vernon County (844) 853-8937
WESTON DREW FULMER DMD
Dentist (General Practice)
301 W AUSTIN BLVD
NEVADA, MO 64772
Vernon County (844) 853-8937
CASSIE JO BOULTINGHOUSE RDH
Dental Hygienist
301 W AUSTIN BLVD
NEVADA, MO 64772
Vernon County (844) 853-8937
KAMRYN UNGEHEUER RDH
Dental Hygienist
301 W AUSTIN BLVD
NEVADA, MO 64772
Vernon County (844) 853-8937

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 Anne Jean's NPI number?

The NPI number for Anne Jean is 1093635757. It was assigned to this individual provider in the NPPES registry on July 21, 2026.

Where is Anne Jean located?

Anne Jean practices at 301 W Austin Blvd, Nevada, MO 64772. The listed phone number is (844) 853-8937.

What is Anne Jean's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Anne Jean enrolled in Medicare?

Yes. Anne Jean is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anne Jean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anne Jean reassigns Medicare benefits to Compass Health, Inc (Clinton, MO). 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 Anne Jean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anne Jean accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Anne Jean 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 Anne Jean was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.