JOHN FRANKLIN NISWONGER AGNP-C
NPI 1215537220
Nurse Practitioner - Adult Health in Jackson, MO
About John Franklin Niswonger Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN FRANKLIN NISWONGER AGNP-C (NPI 1215537220) is an individual adult health provider in Jackson, Missouri, licensed in Missouri (2020034604) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
John Franklin Niswonger Agnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show John Niswonger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cape Girardeau, MO 63701
- Reassigned Medicare billing, Missouri enrollment
- 470 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Southeast
Acute Care Hospitals · Cape Girardeau, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 John Niswonger's NPI number?
The NPI number for John Niswonger is 1215537220. It was assigned to this individual provider in the NPPES registry on October 28, 2020. The provider is also known as Johnny Franklin Niswonger.
Where is John Niswonger located?
John Niswonger practices at 861 Canyon Trl, Jackson, MO 63755. The listed phone number is (573) 837-2390.
What is John Niswonger's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is John Niswonger enrolled in Medicare?
Yes. John Niswonger 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 John Niswonger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Niswonger reassigns Medicare benefits to Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, 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 John Niswonger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Niswonger accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list John Niswonger 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.
Is John Niswonger affiliated with any hospitals?
According to CMS data, John Niswonger is affiliated with Mercy Hospital Southeast.
When was this NPI record last updated?
The NPPES record for John Niswonger was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John Franklin Niswonger, AGNP-C · NPI 1215537220
Adult Health physician in Jackson, Missouri. Individual provider, active in the CMS NPPES registry since October 28, 2020.
## Identity
- **NPI:** 1215537220 (Entity type: Individual)
- **Enumerated:** October 28, 2020
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 2020034604 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 861 CANYON TRL, Jackson, MO 63755-4001
- **Phone:** (573) 837-2390
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southeast Missouri Hospital Physicians, LLC (NPI 1558311522, Cape Girardeau, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1215537220) · Data from the CMS NPPES public registry.