JENNIFER A BUSHRE APRN, NP
NPI 1811712623
Nurse Practitioner - Family in Bolivar, MO

Q: What is Jennifer Bushre's NPI number?

The NPI number for Jennifer Bushre is 1811712623. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Q: What is Jennifer Bushre's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Bushre was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since November 18, 2024PECOS EnrolledAccepts Medicare Assignment

1501 N OAKLAND AVE, BOLIVAR, MO 65613(417) 326-7200(417) 326-7201 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jennifer A Bushre Aprn, Np NPPES

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

JENNIFER A BUSHRE APRN, NP (NPI 1811712623) is an individual family provider in Bolivar, Missouri, licensed in Missouri (2024041849) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811712623

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER A BUSHRECredential: APRN, NP

Location Address1501 N OAKLAND AVEBolivar, MO 65613-3020

Mailing Address2337 E Crawford StSalina, KS 67401-3713 · (785) 823-0633 · Fax (844) 854-4662

Phone(417) 326-7200

Fax(417) 326-7201

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 18, 2024

NPPES CertifiedNovember 18, 2024

✔ NPI 1811712623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2024041849

1501 N OAKLAND AVE, Bolivar, MO 65613

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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

Jennifer A Bushre Aprn, Np 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 ID2365978731

PECOS Enrollment IDI20241209002064

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

Medicare enrollment records show Jennifer Bushre 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

Central Care, PA

112 mi

Medical Oncology

1004 CARONDELET DR STE 410
Kansas City, MO 64114

Reassigned Medicare billing, Missouri enrollment
10 clinicians in this Medicare group

NPI 1639778228 (785) 823-0633

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

$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 12

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

DR. GARRY J BROWN DO

Radiology (Radiation Oncology)