Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jepchirchir Mutwol

Individual provider Anesthesiologist Assistant · 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, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
Specialties on file
2
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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.

Additional practice locations (1)

  • 1102 W 32nd St, Joplin, MO 64804-3503 — (417) 347-6671

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2025023097 (MO)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 2025023097 (MO)

Record details

NPI number1174410534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2025
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026

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

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Ozark Anesthesia Associates Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 88 clinicians in the practice; 12 are shown here.

Other providers in Springfield