Timothy O Pruett
FNP | Nurse Practitioner | 23+ years Exp
1900 S National Ave, Suite 3600, Springfield
Missouri, 65804-2265
417-820-3911
Timothy O Pruett is a Springfield, Missouri based nurse practitioner with 23 years of experience in . He completed his graduation in 2002. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Timothy O Pruett is 112446 in Missouri. His current practice location is 1900 S National Ave, Suite 3600, Springfield. Patients can reach him at 417-820-3911 or can fax him at 417-820-3924. Timothy O Pruett is FNP and his NPI number (Unique professional ID assigned by NPPES) is 1972645117.
Timothy O Pruett has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Timothy O Pruett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Timothy O Pruett |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP |
| Experience: | 23+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2002 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1900 S National Ave, Suite 3600, Springfield,
Missouri, 65804-2265 |
| Phone: | 417-820-3911 |
| Fax: | 417-820-3924 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2961526900 |
| Enrollment ID: | I20100827000822 |
| NPI Number: | 1972645117 |
| NPI Enumeration Date: | 13 Feb, 2007 |
| NPI Last Update On: | 14 Jul, 2008 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy O Pruett are as mentioned below.
| License Number | Specialization | State | Status | |
| 112446 | | Missouri | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (260065) | Springfield, MO | Acute Care Hospital |
| (260059) | Lebanon, MO | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Timothy O Pruett is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Mercy Clinic Springfield Communities (7416865845) | 902 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Timothy O Pruett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 174073 | Other | Missouri | MO BLUE SHIELD |
| 428328702 | Medicaid | Missouri | |
| 82543 | Other | Arkansas | ARK BLUE SHIELD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Timothy O Pruett
Po Box 2580,
Springfield, Missouri |
| Zip: | 65801-2580 |
| Phone Number: | 417-829-4620 |
| Fax Number: | 417-829-4316 |
Patients can reach Timothy O Pruett at
1900 S National Ave, Suite 3600, Springfield, Missouri or can
call to book an appointment on 417-820-3911.
Comments/ Reviews:
Patients can read all the reviews posted for Timothy O Pruett below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Timothy O Pruett. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.