JACOB (JAKE) WILLIAM CONDREN PA-C
NPI 1265971865
Physician Assistant in Bolivar, MO

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363A00000X.

Active since February 15, 2017PECOS EnrolledAccepts Medicare Assignment

1155 W PARKVIEW ST, SUITE 2D, BOLIVAR, MO 65613(417) 777-2663(417) 777-2666 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacob (jake) William Condren Pa-c NPPES

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

JACOB (JAKE) WILLIAM CONDREN PA-C (NPI 1265971865) is an individual physician assistant in Bolivar, Missouri and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265971865

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACOB (JAKE) WILLIAM CONDRENCredential: PA-C

Location Address1155 W PARKVIEW ST, SUITE 2DBolivar, MO 65613-8279

Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6000 · Fax (417) 328-6338

Phone(417) 777-2663

Fax(417) 777-2666

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 15, 2017

✔ NPI 1265971865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1155 W PARKVIEW ST, Bolivar, MO 65613

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob (jake) William Condren Pa-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.

PECOS PAC ID4880971027

PECOS Enrollment IDI20170426000693

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.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

720 services71 patients

Established patient office or other outpatient visit, 30-39 minutes 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

177 services125 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

144 services76 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

63 services56 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services43 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

30 services28 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services29 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services21 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

18 services17 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

17 services14 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

15 services15 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

15 services14 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

14 services14 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

13 services13 patients

New patient office or other outpatient visit, 30-44 minutes 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

12 services12 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

12 services12 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

12 services11 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

11 services11 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

11 services11 patients

Laminectomy or laminotomy (partial removal of spine bones) NAN18

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

0 services1 patient

Hospital Affiliations CMS Care Compare

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

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260195

Location1500 N OaklandBolivar, MO 65613 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 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 8

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

CITIZENS MEMORIAL HEALTHCARE CLINICS

Durable Medical Equipment & Medical Supplies

1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613

Polk County (417) 777-2663

DR. WALTER WAYNE WOLF III D.O.

Surgery

1155 W PARKVIEW ST, SUITE 1F
BOLIVAR, MO 65613

Polk County (417) 326-8700

DR. KENNETH RONALD SMITH MD

Orthopaedic Surgery

1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613

Polk County (417) 777-2663

DR. MARTIN S. TYSON DO

Surgery

1155 W PARKVIEW ST, SUITE 1G
BOLIVAR, MO 65613

Polk County (417) 326-8700

DR. TROY MORRISON D.O.

Orthopaedic Surgery

1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613

Polk County (417) 777-2663

DR. MATTHEW CAMPBELL ERICKSEN D.O.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

1155 W PARKVIEW ST, SUITE 2J
BOLIVAR, MO 65613

Polk County (417) 328-7000

JESSICA ELIZABETH SCHOENROCK

Nurse Practitioner

1155 W PARKVIEW ST
BOLIVAR, MO 65613

Polk County (417) 326-6000

MR. LOGAN BENEDICT

Specialist/Technologist (Athletic Trainer)

1155 W PARKVIEW ST
BOLIVAR, MO 65613

Polk County (417) 777-7763

JACOB (JAKE) WILLIAM CONDREN PA-C
NPI 1265971865
Physician Assistant in Bolivar, MO

About Jacob (jake) William Condren Pa-c NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Areas of Expertise CMS Part B claims 22

Hospital Affiliations CMS Care Compare

Citizens Memorial Hospital

Physician Visit Costs CMS claims · ZIP area

Other Providers at the Same Location NPPES 8

Frequently Asked Questions

What is Jacob (jake) Condren's NPI number?

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What is the provider's specialty?

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