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

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: August 09, 2026.

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
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

Medicare Participation & PECOS CMS

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

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.

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.

Eyewear Supplier
6400 PROSPECT AVE, RESEARCH MEDICAL BLDG. SUITE 398
KANSAS CITY, MO 64132
Nurse Practitioner (Women's Health)
6400 PROSPECT AVE, SUITE 598
KANSAS CITY, MO 64132
Urology
6400 PROSPECT AVE, SUITE 440
KANSAS CITY, MO 64132
Family Medicine
6400 PROSPECT AVE, SUITE 640
KANSAS CITY, MO 64132
Specialist
6400 PROSPECT AVE, SUITE 228
KANSAS CITY, MO 64132
Nurse Practitioner (Family)
6400 PROSPECT AVE, STE 310
KANSAS CITY, MO 64132
Obstetrics & Gynecology
6400 PROSPECT AVE, #598
KANSAS CITY, MO 64132
Transplant Surgery
6400 PROSPECT AVE, SUITE 646
KANSAS CITY, MO 64132

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.

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.