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JASON H MILDENBERGER PA
NPI 1053748616
Physician Assistant in North Kansas City, MO

Active since September 27, 2013PECOS Enrolled
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116(816) 691-2000 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2018, Jun 18, 2018 (2 updates tracked since 2018).

About Jason H Mildenberger Pa NPPES

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

JASON H MILDENBERGER PA (NPI 1053748616) is an individual physician assistant in North Kansas City, Missouri, licensed in Missouri (2018011301) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1053748616
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJASON H MILDENBERGERCredential: PA
Location Address2800 CLAY EDWARDS DRNorth Kansas City, MO 64116
Mailing Address5665 New Northside Dr, Suite 320Atlanta, GA 30328-5831 · (770) 874-5468
Phone(816) 691-2000
Sole ProprietorNo
Enumeration DateSeptember 27, 2013
Last NPPES UpdateJuly 17, 20182 updates tracked since enumeration
✔ NPI 1053748616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MO · 2018011301✔ Licensed in GA · 007036
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2800 CLAY EDWARDS DR, North Kansas City, MO 64116
Open in Google Maps ↗

Secondary Practice Location 1

Location 1303 Parkway Dr NEAtlanta, GA 30312-1212 · Phone (404) 265-4327

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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)

Jason H Mildenberger Pa 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
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 20

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

SYDNEY JUERGENS RD, LD
Dietitian, Registered
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-8548
NORTH KANSAS CITY HOSPITAL
Pharmacy (Community/Retail Pharmacy)
2800 CLAY EDWARDS DR
NORTH KANSAS CITY, MO 64116
Clay County (816) 691-2000
PAIN SOURCE SOLUTIONS LLC
Anesthesiology (Pain Medicine)
2800 CLAY EDWARDS DR
NORTH KANSAS CITY, MO 64116
Clay County (816) 221-4114
JULIA J. NEPERUD MD
Radiology (Diagnostic Radiology)
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-5201
MRS. LEAH NOEL CARMICHAEL FNP-C
Nurse Practitioner (Family)
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-2000
JUSTIN DASTRUP DO
Internal Medicine
2800 CLAY EDWARDS DR
NORTH KANSAS CITY, MO 64116
Clay County (877) 840-6992
AMELA HALILOVIC
Pharmacy Technician
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-1255
DR. MARCI A BRECHEISEN MD
Radiology (Diagnostic Radiology)
2800 CLAY EDWARDS DR
KANSAS CITY, MO 64116
Clay County (816) 691-5201

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 Jason Mildenberger's NPI number?

The NPI number for Jason Mildenberger is 1053748616. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Where is Jason Mildenberger located?

Jason Mildenberger practices at 2800 Clay Edwards Dr, North Kansas City, MO 64116. The listed phone number is (816) 691-2000.

What is Jason Mildenberger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jason Mildenberger enrolled in Medicare?

Yes. Jason Mildenberger is registered in the Medicare PECOS enrollment system.

What insurance does Jason Mildenberger accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Jason Mildenberger 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 Jason Mildenberger was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.