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DOROTHY JEAN JACKSON MD
NPI 1023004009
Internal Medicine in Kansas City, MO

Active since September 23, 2005PECOS Enrolled
2906 NW VIVION RD, KANSAS CITY, MO 64150(816) 599-5050 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, May 14, 2025, Apr 11, 2025 and 6 more (9 updates tracked since 2024).

About Dorothy Jean Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOROTHY JEAN JACKSON MD (NPI 1023004009) is an individual internal medicine provider in Kansas City, Missouri, licensed in Missouri (R8B55) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023004009
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDOROTHY JEAN JACKSONCredential: MD
Location Address2906 NW VIVION RDKansas City, MO 64150-1502
Mailing Address6220 N Cypress AveKansas City, MO 64119-5051 · (816) 679-9150
Phone(816) 599-5050
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateJune 11, 20259 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1023004009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · R8B55
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2906 NW VIVION RD, Kansas City, MO 64150
Open in Google Maps ↗

Other Identifiers 1

Medicaid201760055MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorothy Jean Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW CARL SHORE
Hospitalist
2906 NW VIVION RD
RIVERSIDE, MO 64150
Platte County (816) 599-5050
KARL E KOSSE M.D.
Pediatrics
2906 NW VIVION RD
KANSAS CITY, MO 64150
Platte County (816) 599-5051
BIFTU MOHAMMED ALI
Nurse Practitioner (Family)
2906 NW VIVION RD
RIVERSIDE, MO 64150
Platte County (816) 599-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorothy Jackson's NPI number?

The NPI number for Dorothy Jackson is 1023004009. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Dorothy Jackson located?

Dorothy Jackson practices at 2906 NW Vivion Rd, Kansas City, MO 64150. The listed phone number is (816) 599-5050.

What is Dorothy Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dorothy Jackson enrolled in Medicare?

Yes. Dorothy Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Dorothy Jackson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Dorothy Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dorothy Jackson was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.