1. Home
  2. Directory
  3. Missouri
  4. Jefferson City
  5. Pediatrics
  6. NPI Profile

DR. AUTUMN A HAN M.D.
NPI 1184967960
Pediatrics in Jefferson City, MO

Active since March 31, 2013PECOS Enrolled
1125 MADISON ST, JEFFERSON CITY, MO 65101(573) 632-5525 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2021, Oct 1, 2021 (2 updates tracked since 2021).

About Dr. Autumn A Han M.d. NPPES

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

DR. AUTUMN A HAN M.D. (NPI 1184967960) is an individual pediatrics provider in Jefferson City, Missouri, licensed in Missouri (2013020310) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184967960
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AUTUMN A HANCredential: M.D.
Location Address1125 MADISON STJefferson City, MO 65101-5200
Mailing Address1125 Madison StJefferson City, MO 65101-5227 · (573) 632-5525
Phone(573) 632-5525
Sole ProprietorNo
Enumeration DateMarch 31, 2013
Last NPPES UpdateNovember 7, 20212 updates tracked since enumeration
NPPES CertifiedNovember 7, 2021
✔ NPI 1184967960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MO · 2013020310✔ Licensed in TX · T3296
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1125 MADISON ST, Jefferson City, MO 65101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Dr. Autumn A Han 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 Reassignment

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

Pediatrix Medical Group Of Texas Billing, Inc.
639 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774

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 65101 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 20

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

MRS. HEATHER DAWN BARNES OTR
Occupational Therapist
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5651
CAPITAL REGION MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5750
DR. DANIEL HULSE DO
Student in an Organized Health Care Education/Training Program
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 623-5301
MRS. LANA ELAINE WANSTREET CRNA
Nurse Anesthetist, Certified Registered
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5000
SUSAN STACKELHOUSE VOSS
Pediatrics
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5525
CAPITAL REGION MEDICAL CENTER
Psychiatry & Neurology (Neurology)
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5666
BART S BOWERS CRNA
Nurse Anesthetist, Certified Registered
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5000
DR. HEMAL YOGESH PATEL MD
Hospitalist
1125 MADISON ST
JEFFERSON CITY, MO 65101
Cole County (573) 632-5000

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 Autumn Han's NPI number?

The NPI number for Autumn Han is 1184967960. It was assigned to this individual provider in the NPPES registry on March 31, 2013.

Where is Autumn Han located?

Autumn Han practices at 1125 Madison St, Jefferson City, MO 65101. The listed phone number is (573) 632-5525.

What is Autumn Han's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Autumn Han enrolled in Medicare?

Yes. Autumn Han is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Autumn Han's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Han reassigns Medicare benefits to Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX). 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 Autumn Han's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Han accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Autumn Han 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 Autumn Han was last updated on November 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.