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

Mr. Jacob Eugene Reedy, FNP

Individual provider Family Nurse Practitioner · NPI 1821809534

Mr. Jacob Eugene Reedy, FNP is a Nurse Practitioner in Rolla, Missouri. Qualified in 2024, 2 years ago. Practices with Pcrmc Medical Group Inc, a 114-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

603 S Bishop Ave
Rolla, MO 65401-4320
Phone: (573) 426-4411
Fax: (573) 426-4403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Gw Ln, Waynesville, MO 65583-2339 — (573) 842-4116

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2025004660 (MO)

Record details

NPI number1821809534
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 14, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address1050 W 10th St, Rolla, MO 65401-2905

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pcrmc Medical Group Inc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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