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JUAN GUSTAVO NIX M.D.
NPI 1508939661
Emergency Medicine in Bolivar, MO

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
1500 N OAKLAND AVE, BOLIVAR, MO 65613(417) 326-6000 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Juan Gustavo Nix M.d. NPPES

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

JUAN GUSTAVO NIX M.D. (NPI 1508939661) is an individual emergency medicine provider in Bolivar, Missouri, licensed in Missouri (MOR1G61) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1508939661
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUAN GUSTAVO NIXCredential: M.D.
Location Address1500 N OAKLAND AVEBolivar, MO 65613-3011
Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6000
Phone(417) 326-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateNovember 16, 2006
Last NPPES UpdateDecember 2, 2009
✔ NPI 1508939661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · MOR1G61
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1500 N OAKLAND AVE, Bolivar, MO 65613
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Other Identifiers 2

Medicare PIN006050228MO
Medicare UPINA26430MO

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

Juan Gustavo Nix M.d. 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 ID6608918230
PECOS Enrollment IDI20100120000799
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

2

Medicare enrollment records show Juan Nix reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Citizens Memorial Healthcare
Same address
Surgery
1500 N OAKLAND AVE
Bolivar, MO 65613
  • Reassigned Medicare billing, Missouri enrollment
  • 249 clinicians in this Medicare group
NPI 1568566131 (417) 326-6000
Citizens Memorial Hospital District
Same address
General Acute Care Hospital
1500 N OAKLAND AVE
Bolivar, MO 65613
  • Reassigned Medicare billing, Missouri enrollment
  • 128 clinicians in this Medicare group
NPI 1003981549 (417) 326-6000

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 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
$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.

JACOB PODLESKI
Anesthesiology
1500 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-6000
CITIZENS MEMORIAL HOSPITAL DISTRICT
Psychiatric Unit
1500 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-6000
CITIZENS MEMORIAL HOSPITAL DISTRICT
General Acute Care Hospital
1500 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-6000
ZACHARY CAREL MD
Emergency Medicine
1500 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-6000
MR. JOSHUA JAMES NOE DPT
Physical Therapist
1500 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-6000
MS. KRISTINE TERESE GRBAC-SCHOMAKER M.A. CCC-A
Audiologist
1500 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-6000
JENNA ROSE NOE
Occupational Therapist
1500 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-6000
DR. NATHANIEL ALAN PEARL DO
Emergency Medicine
1500 N OAKLAND AVE
BOLIVAR, MO 65613
Polk County (417) 326-6000

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 Juan Nix's NPI number?

The NPI number for Juan Nix is 1508939661. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Juan Nix located?

Juan Nix practices at 1500 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 326-6000.

What is Juan Nix's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Juan Nix enrolled in Medicare?

Yes. Juan Nix 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 Juan Nix's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Nix reassigns Medicare benefits to 2 organizations: Citizens Memorial Healthcare (Bolivar, MO) and Citizens Memorial Hospital District (Bolivar, MO). 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 Juan Nix'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 Juan Nix was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.