TIMOTHY O PRUETT FNP
NPI 1972645117
Nurse Practitioner in Springfield, MO

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
1900 S NATIONAL AVE, SUITE 3600, SPRINGFIELD, MO 65804(417) 820-3911(417) 820-3924 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy O Pruett Fnp NPPES

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

TIMOTHY O PRUETT FNP (NPI 1972645117) is an individual nurse practitioner in Springfield, Missouri, licensed in Missouri (112446) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1972645117
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTIMOTHY O PRUETTCredential: FNP
Location Address1900 S NATIONAL AVE, SUITE 3600Springfield, MO 65804-2265
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Fax(417) 820-3924
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 14, 2008
NPI 1972645117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 112446
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1900 S NATIONAL AVE, Springfield, MO 65804

Other Identifiers 5

Other174073MO · Mo Blue Shield
Medicare UPINP87553
Medicaid428328702MO
Medicare PIN445013268MO
Other82543AR · Ark Blue Shield

Accepted 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

Timothy O Pruett 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.

PECOS PAC ID2961526900
PECOS Enrollment IDI20100827000822
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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 20

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

Obstetrics & Gynecology
1900 S NATIONAL AVE, SUITE 2970
SPRINGFIELD, MO 65804
Internal Medicine (Interventional Cardiology)
1900 S NATIONAL AVE, SUITE 3600
SPRINGFIELD, MO 65804
Physician Assistant
1900 S NATIONAL AVE, SUITE 1950
SPRINGFIELD, MO 65804
Durable Medical Equipment & Medical Supplies
1900 S NATIONAL AVE, SUITE 2900
SPRINGFIELD, MO 65804
Internal Medicine (Cardiovascular Disease)
1900 S NATIONAL AVE, SUITE 3600
SPRINGFIELD, MO 65804
Surgery
1900 S NATIONAL AVE, SUITE 1950
SPRINGFIELD, MO 65804
Internal Medicine (Infectious Disease)
1900 S NATIONAL AVE, SUITE 2955
SPRINGFIELD, MO 65804
Internal Medicine (Cardiovascular Disease)
1900 S NATIONAL AVE, SUITE 3600
SPRINGFIELD, MO 65804

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 Timothy Pruett's NPI number?

The NPI number for Timothy Pruett is 1972645117. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Timothy Pruett located?

Timothy Pruett practices at 1900 S National Ave Suite 3600, Springfield, MO 65804. The listed phone number is (417) 820-3911.

What is Timothy Pruett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Timothy Pruett enrolled in Medicare?

Yes. Timothy Pruett 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 Timothy Pruett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Timothy Pruett 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 Timothy Pruett affiliated with any hospitals?

According to CMS data, Timothy Pruett is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Timothy Pruett was last updated on July 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.