Individual provider · Type 1 NPI

Nicollete Gerri Idos

Physician Assistant · Springfield, MO

NPI number 1831880558 Active

Practice location

3443 S National Ave
Springfield, MO 65807-7308

Mailing address

PO Box 505673
St. Louis, MO 63150-5673

Other practice locations

  • 1000 E Primrose St Ste 300, Springfield, MO 65807-5178 · (417) 269-3700
  • 1819 S National Ave, Springfield, MO 65804-2217 · (417) 269-5437

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2023013961 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1831880558

Nicollete Gerri Idos's National Provider Identifier is 1831880558, issued on May 15, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, MO. The record was last updated on Sep 3, 2025.