NICOLLETE GERRI IDOS
NPI 1831880558
Physician Assistant in Springfield, MO

Q: What is Nicollete Gerri Idos's NPI number?

The NPI number for Nicollete Gerri Idos is 1831880558. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Nicollete Gerri Idos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since May 15, 2023PECOS Enrolled

3443 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 269-2000 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, Dec 9, 2024, Aug 23, 2023 and 1 more (4 updates tracked since 2023).

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About Nicollete Gerri Idos NPPES

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

NICOLLETE GERRI IDOS (NPI 1831880558) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2023013961) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831880558

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLLETE GERRI IDOS

Location Address3443 S NATIONAL AVESpringfield, MO 65807-7308

Mailing AddressPo Box 505673Saint Louis, MO 63150-5673 · (417) 730-6430 · Fax (417) 269-7567

Phone(417) 269-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 15, 2023

Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1831880558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 2023013961

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3443 S NATIONAL AVE, Springfield, MO 65807

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Secondary Practice Locations 2

Location 11819 S National AveSpringfield, MO 65804-2217 · Phone (417) 269-5437

Location 21000 E Primrose St Ste 300Springfield, MO 65807-5178 · Phone (417) 269-3700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicollete Gerri Idos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507361318

PECOS Enrollment IDI20250923004292

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

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 11

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

LESTER E COX MEDICAL CENTERS

Pediatrics