JONATHAN PULSIPHER DO
NPI 1821679176
Surgery in Rolla, MO
About Jonathan Pulsipher Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN PULSIPHER DO (NPI 1821679176) is an individual surgery provider in Rolla, Missouri, licensed in Missouri (2026034153) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Rocky Vista University College Of Osteopathic Med (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Jonathan Pulsipher Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jonathan Pulsipher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rolla, MO 65401
- Reassigned Medicare billing, Missouri enrollment
- 145 clinicians in this Medicare group
Rolla, MO 65401
- Reassigned Medicare billing, Missouri enrollment
- 195 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jonathan Pulsipher's NPI number?
The NPI number for Jonathan Pulsipher is 1821679176. It was assigned to this individual provider in the NPPES registry on April 19, 2021.
Where is Jonathan Pulsipher located?
Jonathan Pulsipher practices at 1060 W 10th St, Rolla, MO 65401. The listed phone number is (855) 406-3324.
What is Jonathan Pulsipher's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jonathan Pulsipher enrolled in Medicare?
Yes. Jonathan Pulsipher 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 Jonathan Pulsipher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Pulsipher reassigns Medicare benefits to 2 organizations: Pcrmc Medical Group, Inc (Rolla, MO) and Phelps County Regional Medical Center (Rolla, 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 Jonathan Pulsipher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Pulsipher accept?
Health plans from Anthem Blue Cross and Blue Shield list Jonathan Pulsipher 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.
When was this NPI record last updated?
The NPPES record for Jonathan Pulsipher was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jonathan Pulsipher, DO · NPI 1821679176
Surgery physician in Rolla, Missouri. Individual provider, active in the CMS NPPES registry since April 19, 2021.
## Identity
- **NPI:** 1821679176 (Entity type: Individual)
- **Enumerated:** April 19, 2021
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 2026034153 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1060 W 10TH ST, Rolla, MO 65401-2905
- **Phone:** (855) 406-3324 · **Fax:** (573) 458-8363
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pcrmc Medical Group, Inc (NPI 1124237227, Rolla, MO); Phelps County Regional Medical Center (NPI 1891766051, Rolla, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rocky Vista University College Of Osteopathic Med, class of 2021
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821679176) · Data from the CMS NPPES public registry.