MARY BUNCH FNP
NPI 1396296331
Nurse Practitioner - Family in Jefferson City, MO

Active since October 14, 2016PECOS Enrolled
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109(573) 635-5264 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2023, Aug 27, 2019, Oct 14, 2016 (3 updates tracked since 2016).

About Mary Bunch Fnp NPPES

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

MARY BUNCH FNP (NPI 1396296331) is an individual family provider in Jefferson City, Missouri, licensed in Missouri (2023020074) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396296331
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY BUNCHCredential: FNP
Location Address1241 W STADIUM BLVDJefferson City, MO 65109-6023
Mailing Address1241 W Stadium BlvdJefferson City, MO 65109-6023 · (573) 635-5264
Sole ProprietorNo
Enumeration DateOctober 14, 2016
Last NPPES UpdateJune 28, 20233 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1396296331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2023020074
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 2016036971 (MO)
1241 W STADIUM BLVD, Jefferson City, MO 65109

Other Names 1

Former Name (1)Mary Risinger Whnp

Secondary Practice Locations 2

Location 11735 Elm CtJefferson City, MO 65101-4129 · Phone (573) 634-4878
Location 2350 Country Meadow LnFulton, MO 65251-5278 · Phone (573) 634-4878

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Bunch Fnp 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 Mary Bunch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1241 W STADIUM BLVD, FIRST FLOOR, SUITE 1100
Jefferson City, MO 65109
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Jefferson City Medical Group PC
  • 155 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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
103 services91 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
95 services81 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
34 services33 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
26 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services20 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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.

Internal Medicine (Pulmonary Disease)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Family Medicine
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Radiology (Diagnostic Radiology)
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109
Nurse Practitioner
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109

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 Mary Bunch's NPI number?

The NPI number for Mary Bunch is 1396296331. It was assigned to this individual provider in the NPPES registry on October 14, 2016. The provider is also known as Mary Risinger Whnp.

Where is Mary Bunch located?

Mary Bunch practices at 1241 W Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (573) 635-5264.

What is Mary Bunch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Bunch enrolled in Medicare?

Yes. Mary Bunch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Bunch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Bunch reassigns Medicare benefits to Jefferson City Medical Group, P.C. (Jefferson City, 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 Mary Bunch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Bunch was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.