Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEPCHIRCHIR MUTWOL
NPI 1174410534
Anesthesiology in Springfield, MO

Q: What is Jepchirchir Mutwol's NPI number?

The NPI number for Jepchirchir Mutwol is 1174410534. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Q: What is Jepchirchir Mutwol's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since June 19, 2025Accepts Medicare Assignment

3801 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 269-6000 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2026, Jun 19, 2025 (2 updates tracked since 2025).

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About Jepchirchir Mutwol NPPES

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

JEPCHIRCHIR MUTWOL (NPI 1174410534) is an individual anesthesiology provider in Springfield, Missouri, licensed in Missouri (2025023097) and active in the NPI registry since June 2025. She is affiliated with Cox Medical Centers, maintains a secondary practice location in Joplin, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174410534

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameJEPCHIRCHIR MUTWOL

Location Address3801 S NATIONAL AVESpringfield, MO 65807-5297

Mailing Address2005 W Chesterfield Blvd Apt 203Springfield, MO 65807-8917 · (682) 329-0961

Phone(417) 269-6000

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 19, 2025

Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1174410534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in MO · 2025023097

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedAnesthesiologist AssistantTaxonomy 367H00000X · License 2025023097 (MO)

3801 S NATIONAL AVE, Springfield, MO 65807

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Secondary Practice Location 1

Location 11102 W 32nd StJoplin, MO 64804-3503 · Phone (417) 347-6671

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

Jepchirchir Mutwol 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 ID345749586

PECOS Enrollment IDI20250815001668

Medicare Billing Reassignment

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

Ozark Anesthesia Associates, Inc.

0.1 mi

Anesthesiology

1000 E PRIMROSE ST STE 520
Springfield, MO 65807

Reassigned Medicare billing, Missouri enrollment
105 clinicians in this Medicare group

NPI 1831109586 (417) 269-4550

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

KALEB AFSHAR

Anesthesiology