TIMOTHY O PRUETT FNP
NPI 1972645117
Nurse Practitioner in Springfield, MO
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
Specialties & Licenses
Other Identifiers 5
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Pruett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,487 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.
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, MOPhysician 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.
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.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
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.
Which organization bills Medicare for Timothy Pruett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Pruett reassigns Medicare benefits to Mercy Clinic Springfield Communities (Springfield, MO). The 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 Timothy Pruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Pruett accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Timothy O Pruett, FNP · NPI 1972645117
Nurse Practitioner physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since February 13, 2007.
## Identity
- **NPI:** 1972645117 (Entity type: Individual)
- **Enumerated:** February 13, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 112446 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 S NATIONAL AVE, SUITE 3600, Springfield, MO 65804-2265
- **Phone:** (417) 820-3911 · **Fax:** (417) 820-3924
## 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:** Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 14, 2008
- **Other identifiers:** Other 174073 (MO); Medicare UPIN P87553; Medicaid 428328702 (MO); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1972645117) · Data from the CMS NPPES public registry.