DR. JAKOB JAMES NELSON MA, PHD
NPI 1043353717
Psychologist in Kansas City, MO

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
85.29/100
CMS Quality Rating
300 W 19TH TER, KANSAS CITY, MO 64108(816) 404-6295(816) 404-6318 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jakob James Nelson Ma, Phd NPPES

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

DR. JAKOB JAMES NELSON MA, PHD (NPI 1043353717) is an individual psychologist in Kansas City, Missouri, licensed in Missouri (2007011137) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2005).

NPPES Registry Identity

NPI1043353717
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JAKOB JAMES NELSONCredential: MA, PHD
Location Address300 W 19TH TERKansas City, MO 64108-2026
Mailing Address4329 Charlotte StKansas City, MO 64110-1548 · (816) 531-2264
Fax(816) 404-6318
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2005
Enumeration DateFebruary 14, 2007
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1043353717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2007011137
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

300 W 19TH TER, Kansas City, MO 64108

Secondary Practice Location 1

Location 12301 Holmes StKansas City, MO 64108-2677 · Phone (816) 404-1587 · Fax (816) 404-1519

Other Identifiers 1

Medicaid490205101MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jakob James Nelson Ma, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850486648
PECOS Enrollment IDI20071009000672
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.76
Promoting Interoperability100
Improvement Activities40
Cost46.54

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
300 W 19TH TER
KANSAS CITY, MO 64108
Chronic Disease Hospital
300 W 19TH TER
KANSAS CITY, MO 64108
Psychologist (Clinical)
300 W 19TH TER
KANSAS CITY, MO 64108
Counselor (Professional)
300 W 19TH TER
KANSAS CITY, MO 64108
Counselor (Professional)
300 W 19TH TER
KANSAS CITY, MO 64108
Community/Behavioral Health
300 W 19TH TER
KANSAS CITY, MO 64108
Social Worker (Clinical)
300 W 19TH TER
KANSAS CITY, MO 64108
Counselor
300 W 19TH TER
KANSAS CITY, MO 64108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043353717, enumerated as an "individual" on February 14, 2007.

The provider is located at 300 W 19TH TER KANSAS CITY, MO 64108 and the phone number is (816) 404-6295.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City, Oscar. Please consult your insurance carrier or call the provider to verify.