1. Home
  2. Directory
  3. Missouri
  4. Poplar Bluff
  5. Nurse Practitioner
  6. NPI Profile

DOUGLAS R BISHOP
NPI 1417353608
Nurse Practitioner - Adult Health in Poplar Bluff, MO

Active since November 14, 2014PECOS EnrolledAccepts Medicare Assignment
2865 JAMES BLVD, POPLAR BLUFF, MO 63901(573) 776-1100(573) 776-1107 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas R Bishop NPPES

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

DOUGLAS R BISHOP (NPI 1417353608) is an individual adult health provider in Poplar Bluff, Missouri, licensed in Missouri (2014038385) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417353608
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDOUGLAS R BISHOP
Location Address2865 JAMES BLVDPoplar Bluff, MO 63901-2803
Mailing Address190 Industrial DrFestus, MO 63028-4133 · (636) 638-1506 · Fax (636) 638-1507
Phone(573) 776-1100
Fax(573) 776-1107
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 14, 2014
✔ NPI 1417353608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2014038385
Also ListedRegistered NurseTaxonomy 163W00000X · License 2009003804 (MO)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2014038385 (MO)
2865 JAMES BLVD, Poplar Bluff, MO 63901
Open in Google Maps ↗

Other Identifiers 2

MedicaidAPPLYINGMO
Medicare PINAPPLYINGMO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Douglas R Bishop 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 ID7214251917
PECOS Enrollment IDI20150129001624
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 Reassignments

6

Medicare enrollment records show Douglas Bishop reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Medical Center Stockhoff Memorial Nursing Home
54 mi
Critical Access
611 W MAIN ST
Fredericktown, MO 63645
  • Reassigned Medicare billing, Missouri enrollment
  • 26 clinicians in this Medicare group
NPI 1720163025 (573) 783-3341
Cogent Healthcare Of Missouri, Inc
120 mi
Critical Care Medicine
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 255 clinicians in this Medicare group
NPI 1780961599 (615) 377-5600
Galen Inpatient Physicians PC.
120 mi
Hospitalist
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 93 clinicians in this Medicare group
NPI 1538714688 (636) 496-2000
Sound Physicians Of Illinois, LLC
135 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 301 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Bothwell Regional Health Center
190 mi
Rural Health
1201 E MAIN STREET
Cole Camp, MO 65325
  • Reassigned Medicare billing, Missouri enrollment
  • 196 clinicians in this Medicare group
NPI 1497705313 (660) 668-4411
Southeastern Physician Services PC
349 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Missouri enrollment
  • 193 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
140 services135 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
91 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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 8

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

ADVANCED PHARMACY
Pharmacy
2865 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 727-9030
MR. FRANK J VILLAMAYOR PA-C
Physician Assistant (Medical)
2865 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 776-1100
MS. ANDREW C.F. DAVIS-COLE FNP
Nurse Practitioner (Adult Health)
2865 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 776-1100
ABDUL NAUSHAD MD PC
Pain Medicine (Pain Medicine)
2865 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (636) 638-1506
SHEILA RENAE UNDERWOOD FNP
Nurse Practitioner (Family)
2865 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 776-1100
INTEGRITY REGIONAL PAIN CENTER LLC
Anesthesiology (Pain Medicine)
2865 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (636) 735-1608
MRS. CHRISTI LYN JAMESON MSN, APRN, FNP-BC
Nurse Practitioner (Family)
2865 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 300-4692
DR. ABDUL NAEEM NAUSHAD M.D.
Anesthesiology (Pain Medicine)
2865 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 776-1100

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 Douglas Bishop's NPI number?

The NPI number for Douglas Bishop is 1417353608. It was assigned to this individual provider in the NPPES registry on November 14, 2014.

Where is Douglas Bishop located?

Douglas Bishop practices at 2865 James Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 776-1100.

What is Douglas Bishop's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Douglas Bishop enrolled in Medicare?

Yes. Douglas Bishop 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 organizations bill Medicare for Douglas Bishop's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Bishop reassigns Medicare benefits to 6 organizations: Madison Medical Center Stockhoff Memorial Nursing Home (Fredericktown, MO), Cogent Healthcare Of Missouri, Inc (Fenton, MO), Galen Inpatient Physicians PC. (Fenton, MO), Sound Physicians Of Illinois, LLC (Bridgeton, MO), Bothwell Regional Health Center (Cole Camp, MO) and 1 more organization, listed in the Medicare section above. Each 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 Douglas Bishop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Bishop accept?

Health plans from Anthem Blue Cross and Blue Shield list Douglas Bishop 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 Douglas Bishop affiliated with any hospitals?

According to CMS data, Douglas Bishop is affiliated with Ssm St Clare Health Center, Ssm Health Depaul Hospital St Louis, Christian Hospital Northeast and Barnes-Jewish St Peters Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Bishop was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.