Jennifer Moutray, - Medicare Certified Registered Nurse Anesthetist (crna) in Springfield, MO

Jennifer Moutray, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Missouri. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mercy Clinic Springfield Communities and her current practice location is 3801 S National Ave, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 269-4557.

Jennifer Moutray is licensed to practice in Missouri (license number 2006021598) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891148417.

Contact Information

Jennifer Moutray,
3801 S National Ave,
Springfield, MO 65807-5210
(417) 269-4557
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Moutray
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location3801 S National Ave, Springfield, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Moutray graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1891148417
  • Provider Enumeration Date: 07/19/2016
  • Last Update Date: 07/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0446545032
  • Enrollment ID: I20160822001131

Medical Identifiers

Medical identifiers for Jennifer Moutray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891148417NPI-NPPES
2006021598OtherMOLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2006021598 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital SpringfieldSpringfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities7416865845933

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Moutray allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354
Entity NameOzark Anesthesia Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831109586
PECOS PAC ID: 1850290149
Enrollment ID: O20041109000614

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Moutray is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Moutray,
1000 E Primrose St Ste 520,
Springfield, MO 65807-5180

Ph: () -
Jennifer Moutray,
3801 S National Ave,
Springfield, MO 65807-5210

Ph: (417) 269-4557

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Springfield, MO

Olivia M. Kilburn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    Fax: 417-820-8852
Mr. David E Meinhardt, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1265 E Primrose St, Springfield, MO 65804
Phone: 417-886-3937    Fax: 417-886-1285
Jacquelyn B Marshall, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    
Dione E Blansit, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    
Jesse D Collins, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    Fax: 417-820-8852
Bradley A Korman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    Fax: 417-820-8852
John D Ford, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2829    Fax: 417-820-8852

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.