JEAN R MENOWN (NP-C) – Family Nurse Practitioner, NPI 1457674301
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for JEAN R MENOWN (NP-C)
1435 W WHITESIDE ST
SPRINGFIELD, MO 658072356
Phone:
Type: Mailing
1245 BANNING ST
MARSHFIELD, MO 65706
Phone: (417) 269-1940
Fax: (417) 269-1948
Type: Location
Citizens Memorial Hospital, 1500, North Oakland Avenue, Bolivar, Polk County, Missouri, 65613, United States
BOLIVAR, MO 656133011
Phone: (417) 326-6000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $380.
Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novo Nordisk Inc ($245).
Total Amount
$380
General + Research + Ownership
Payments
17
Total payment records
General Amount
$380
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $245 |
| Lilly USA, LLC | $51 |
| Medtronic, Inc. | $40 |
| Pacira Pharmaceuticals Incorporated | $25 |
| Kerecis Limited | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100629000465 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 58 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 40 | 38 | $0 |
| 82607 | Cyanocobalamin (vitamin b-12) level | 33 | 33 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 32 | 30 | $0 |
Insurance plans in this area (ZIP 65807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO | |
| P O D I A T R Y | MO | |
| - | KS |
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