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VICTORIA RENEE JACKSON DO
NPI 1053970426
Family Medicine in Kansas City, MO

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment
2000 NE VIVION RD STE 100, KANSAS CITY, MO 64118(816) 453-1314(816) 453-3434 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Victoria Renee Jackson Do NPPES

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

VICTORIA RENEE JACKSON DO (NPI 1053970426) is an individual family medicine provider in Kansas City, Missouri, licensed in Missouri (2020037120) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with North Kansas City Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053970426
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameVICTORIA RENEE JACKSONCredential: DO
Location Address2000 NE VIVION RD STE 100Kansas City, MO 64118-6127
Mailing Address2000 Ne Vivion Rd Ste 100Kansas City, MO 64118-6127 · (816) 453-1314 · Fax (816) 453-3434
Phone(816) 453-1314
Fax(816) 453-3434
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 10, 2019
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1053970426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · 2020037120✔ Licensed in MO · 2019018906
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2000 NE VIVION RD STE 100, Kansas City, MO 64118
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Accepted Insurance

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

Victoria Renee Jackson Do 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 ID5890185938
PECOS Enrollment IDI20211206000430
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64118 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
$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.

NIKKI S. FRYER MSW, LCSW
Social Worker (Clinical)
2000 NE VIVION RD STE 100
KANSAS CITY, MO 64118
Clay County (816) 453-1314
RAYCINIA KIMLAYANA ELLISON MD
Family Medicine
2000 NE VIVION RD STE 100
KANSAS CITY, MO 64118
Clay County (816) 453-1314
ERIKA L BUSBY BSN, RN, CDCES
Registered Nurse
2000 NE VIVION RD STE 100
KANSAS CITY, MO 64118
Clay County (816) 691-2544

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 Victoria Jackson's NPI number?

The NPI number for Victoria Jackson is 1053970426. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Victoria Jackson located?

Victoria Jackson practices at 2000 NE Vivion Rd Ste 100, Kansas City, MO 64118. The listed phone number is (816) 453-1314.

What is Victoria Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Victoria Jackson enrolled in Medicare?

Yes. Victoria Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Victoria Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Victoria 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.

Is Victoria Jackson affiliated with any hospitals?

According to CMS data, Victoria Jackson is affiliated with North Kansas City Hospital.

When was this NPI record last updated?

The NPPES record for Victoria Jackson was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.