DR. JACKIE WAYNE TENNEY MD
NPI 1073554820
Pediatrics in Kansas City, MO

Q: What is Jackie Tenney's NPI number?

The NPI number for Jackie Tenney is 1073554820. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Q: What is Jackie Tenney's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Tenney was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 10, 2006PECOS Enrolled

6400 PROSPECT AVE, SUITE 646, KANSAS CITY, MO 64132(816) 444-8400(816) 444-8407 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jackie Wayne Tenney Md NPPES

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

DR. JACKIE WAYNE TENNEY MD (NPI 1073554820) is an individual pediatrics provider in Kansas City, Missouri, licensed in Missouri (R7F09) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073554820

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JACKIE WAYNE TENNEYCredential: MD

Location Address6400 PROSPECT AVE, SUITE 646Kansas City, MO 64132-1100

Mailing Address6501 E 87th StKansas City, MO 64138-2732 · (816) 444-8400 · Fax (816) 444-8407

Phone(816) 444-8400

Fax(816) 444-8407

Sole ProprietorYes

Enumeration DateJune 10, 2006

Last NPPES UpdateJune 19, 2012

✔ NPI 1073554820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · R7F09

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6400 PROSPECT AVE, Kansas City, MO 64132

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jackie Wayne Tenney 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.

Medicare Billing Reassignment

Medicare enrollment records show Jackie Tenney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swope Health Services

2.0 mi

Federally Qualified Health Center (FQHC)

4736 PROSPECT AVE
Kansas City, MO 64130

Reassigned Medicare billing, Missouri enrollment
175 clinicians in this Medicare group

NPI 1336730449 (816) 923-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64132 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 20

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

RESEARCH OPTICAL SERVICE, INC.

Eyewear Supplier

6400 PROSPECT AVE, RESEARCH MEDICAL BLDG. SUITE 398
KANSAS CITY, MO 64132

Jackson County (816) 444-9646

MARIA L HAPKE WHNP

Nurse Practitioner (Women's Health)

6400 PROSPECT AVE, SUITE 598
KANSAS CITY, MO 64132

Jackson County (816) 444-6888

RUSSELL E TACKETT MDPC

Urology

6400 PROSPECT AVE, SUITE 440
KANSAS CITY, MO 64132

Jackson County (816) 361-0277

REGINALD W HALL MD

Family Medicine

6400 PROSPECT AVE, SUITE 640
KANSAS CITY, MO 64132

Jackson County (816) 523-7000

DR. ROBERT L ELKINS MD

Specialist

6400 PROSPECT AVE, SUITE 228
KANSAS CITY, MO 64132

Jackson County (816) 444-5525

VICTORIA FAGAN PARK FNP

Nurse Practitioner (Family)

6400 PROSPECT AVE, STE 310
KANSAS CITY, MO 64132

Jackson County (816) 926-0777

REBECCA SUE JOHNSON MD

Obstetrics & Gynecology

6400 PROSPECT AVE, #598
KANSAS CITY, MO 64132

Jackson County (816) 444-6888

RMC TRANSPLANT PHYSICIANS LLC

Transplant Surgery

6400 PROSPECT AVE, SUITE 646
KANSAS CITY, MO 64132

Jackson County (816) 822-8257

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 Jackie Tenney's NPI number?

The NPI number for Jackie Tenney is 1073554820. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Jackie Tenney located?

Jackie Tenney practices at 6400 Prospect Ave Suite 646, Kansas City, MO 64132. The listed phone number is (816) 444-8400.

What is Jackie Tenney's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jackie Tenney enrolled in Medicare?

Yes. Jackie Tenney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackie Tenney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Tenney reassigns Medicare benefits to Swope Health Services (Kansas City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Tenney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackie Tenney was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.