Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jepchirchir Mutwol

Individual provider Anesthesiology Physician · NPI 1174410534

Jepchirchir Mutwol is an Anesthesiology Assistant in Springfield, Missouri. Qualified in 2025, 1 year ago. Practices with Ozark Anesthesia Associates Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

3801 S National Ave
Springfield, MO 65807-5297
Phone: (417) 269-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2025023097 (MO)

Record details

NPI number1174410534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateMay 29, 2025
Mailing address2005 W Chesterfield Blvd Apt 203, Springfield, MO 65807-8917

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ozark Anesthesia Associates Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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