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MRS. JENNIFER H DAVISSON PA-C
NPI 1114024668
Physician Assistant in Kansas City, MO

Active since September 19, 2006PECOS EnrolledAccepts Medicare Assignment
1010 CARONDELET DRIVE, SUITE 125, KANSAS CITY, MO 64114(816) 942-1150(816) 942-0322 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer H Davisson Pa-c NPPES

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

MRS. JENNIFER H DAVISSON PA-C (NPI 1114024668) is an individual physician assistant in Kansas City, Missouri, licensed in Kansas (1500993) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2004).

NPPES Registry Identity

NPI1114024668
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JENNIFER H DAVISSONCredential: PA-C
Location Address1010 CARONDELET DRIVE, SUITE 125Kansas City, MO 64114-2846
Mailing Address4601 W 109th St, Suite 116Overland Park, KS 66211-1313 · (913) 469-1115 · Fax (913) 469-9446
Phone(816) 942-1150
Fax(816) 942-0322
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2004
Enumeration DateSeptember 19, 2006
Last NPPES UpdateJuly 13, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1114024668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KS · 1500993
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.
1010 CARONDELET DRIVE, Kansas City, MO 64114
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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 and accepts Medicare assignment

Mrs. Jennifer H Davisson Pa-c 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 ID749246122
PECOS Enrollment IDI20041207001009
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 64114 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 4

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

LUCKE SHANKLIN & ASSOCIATES INC
Psychologist (Group Psychotherapy)
1010 CARONDELET DRIVE, SUITE 412
KANSAS CITY, MO 64114
Jackson County (816) 942-9050
ACADEMY FOR COUNSELING & CHANGE LTD
Psychologist (Clinical)
1010 CARONDELET DRIVE, SUITE 405
KANSAS CITY, MO 64114
Jackson County (816) 968-9660
JOAN P MOORE
Health Maintenance Organization
1010 CARONDELET DRIVE, #421
KANSAS CITY, MO 64114
Jackson County (816) 941-9700
OBSTETRIC & GYNECOLOGY CONSULTANTS PC
Obstetrics & Gynecology
1010 CARONDELET DRIVE, SUITE 208
KANSAS CITY, MO 64114
Jackson County (913) 888-2237

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 Jennifer Davisson's NPI number?

The NPI number for Jennifer Davisson is 1114024668. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Where is Jennifer Davisson located?

Jennifer Davisson practices at 1010 Carondelet Drive Suite 125, Kansas City, MO 64114. The listed phone number is (816) 942-1150.

What is Jennifer Davisson's specialty?

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

Is Jennifer Davisson enrolled in Medicare?

Yes. Jennifer Davisson 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 Jennifer Davisson accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Jennifer Davisson 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 Jennifer Davisson was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.