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

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

Practice location Address checks out

3801 S National Ave
Springfield, MO 65807-5297
Phone: (417) 269-6000
Show map & directions

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

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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