MR. JACOB EUGENE REEDY FNP
NPI 1821809534
Nurse Practitioner - Family in Rolla, MO
About Mr. Jacob Eugene Reedy Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACOB EUGENE REEDY FNP (NPI 1821809534) is an individual family provider in Rolla, Missouri, licensed in Missouri (2025004660) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and maintains a secondary practice location in Waynesville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Jacob Eugene Reedy Fnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phelps County Regional Medical Center
Acute Care Hospitals · Rolla, MOPhysician 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROLLA, MO 65401
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 Jacob Reedy's NPI number?
The NPI number for Jacob Reedy is 1821809534. It was assigned to this individual provider in the NPPES registry on January 14, 2025.
Where is Jacob Reedy located?
Jacob Reedy practices at 603 S Bishop Ave, Rolla, MO 65401. The listed phone number is (573) 426-4411.
What is Jacob Reedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacob Reedy enrolled in Medicare?
Yes. Jacob Reedy 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.
Is Jacob Reedy affiliated with any hospitals?
According to CMS data, Jacob Reedy is affiliated with Phelps County Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Jacob Reedy was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mr. Jacob Eugene Reedy, FNP · NPI 1821809534
Family physician in Rolla, Missouri. Individual provider, active in the CMS NPPES registry since January 14, 2025.
## Identity
- **NPI:** 1821809534 (Entity type: Individual)
- **Enumerated:** January 14, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2025004660 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 603 S BISHOP AVE, Rolla, MO 65401-4320
- **Phone:** (573) 426-4411 · **Fax:** (573) 426-4403
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821809534) · Data from the CMS NPPES public registry.