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JEFFERY ALAN TICHENOR PA-C
NPI 1629154851
Physician Assistant - Medical in Springfield, MO

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
4049 S CAMPBELL AVE, SPRINGFIELD, MO 65807(417) 890-5550(417) 890-6429 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jeffery Alan Tichenor Pa-c NPPES

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

JEFFERY ALAN TICHENOR PA-C (NPI 1629154851) is an individual medical provider in Springfield, Missouri, licensed in Missouri (109829) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1629154851
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJEFFERY ALAN TICHENORCredential: PA-C
Location Address4049 S CAMPBELL AVESpringfield, MO 65807-5303
Mailing Address1632 Missouri AvenueCarthage, MO 64836-2032 · (417) 358-7600 · Fax (417) 358-4103
Phone(417) 890-5550
Fax(417) 890-6429
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 31, 2006
Last NPPES UpdateMay 22, 2015
✔ NPI 1629154851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MO · 109829
4049 S CAMPBELL AVE, Springfield, MO 65807
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS39181MO

Accepted Insurance

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

Jeffery Alan Tichenor 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 ID648165001
PECOS Enrollment IDI20040818000155
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 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.

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.
116 services89 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.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261316
Location500 Porter AvenueAurora, MO 65605 · Lawrence County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

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

MRS. LAURA L MILLER CFNP
Nurse Practitioner (Family)
4049 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 890-5550
MRS. DONNA M MOHL FNP
Registered Nurse (General Practice)
4049 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 890-5550
ANITA MARLENE PURVIS FNP
Nurse Practitioner (Family)
4049 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 890-5550
MRS. SUSAN D COONCE FNP
Nurse Practitioner
4049 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 890-5550
DR. WILLIAM A BAIRD DO
Internal Medicine
4049 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 890-5550
DR. NORMAN MCCARTHY D.O.
Ophthalmology
4049 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 890-5550
DR. DANIEL J BURKE D.O.
Emergency Medicine
4049 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 890-5550
MS. JUNE ELLEN MELDI NP-C
Nurse Practitioner (Family)
4049 S CAMPBELL AVE
SPRINGFIELD, MO 65807
Greene County (417) 890-5550

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 Jeffery Tichenor's NPI number?

The NPI number for Jeffery Tichenor is 1629154851. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Jeffery Tichenor located?

Jeffery Tichenor practices at 4049 S Campbell Ave, Springfield, MO 65807. The listed phone number is (417) 890-5550.

What is Jeffery Tichenor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jeffery Tichenor enrolled in Medicare?

Yes. Jeffery Tichenor 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.

What insurance does Jeffery Tichenor accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Jeffery Tichenor 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 Jeffery Tichenor affiliated with any hospitals?

According to CMS data, Jeffery Tichenor is affiliated with Mercy Hospital Springfield and Mercy Hospital Aurora.

When was this NPI record last updated?

The NPPES record for Jeffery Tichenor was last updated on May 22, 2015. 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.