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

Individual provider Anesthesiology Physician · NPI 1841817509

Tanner Roy Jeppesen, DO is an Anesthesiology in Columbia, Missouri. Qualified in 2020, 6 years ago. Practices with Blue Lake Health Springhill LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Hospital Dr
Columbia, MO 65212-1000
Phone: (573) 882-2568
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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 2020017694 (MO)

Record details

NPI number1841817509
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 29, 2020
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address1 Hospital Dr, Columbia, MO 65212-1000

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Blue Lake Health Springhill Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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