JESSICA DUTTON FNP
NPI 1114745908
Nurse Practitioner - Family in Independence, MO

Active since September 30, 2024PECOS EnrolledAccepts Medicare Assignment
4200 LITTLE BLUE PKWY STE 300, INDEPENDENCE, MO 64057(816) 691-1800 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Dutton Fnp NPPES

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

JESSICA DUTTON FNP (NPI 1114745908) is an individual family provider in Independence, Missouri, licensed in Missouri (2024037873) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114745908
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA DUTTONCredential: FNP
Location Address4200 LITTLE BLUE PKWY STE 300Independence, MO 64057-8303
Mailing Address2125 S Outer Belt RdOak Grove, MO 64075-9600 · (816) 589-5346
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
NPI 1114745908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2024037873
4200 LITTLE BLUE PKWY STE 300, Independence, MO 64057

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

Jessica Dutton Fnp 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 ID4284103615
PECOS Enrollment IDI20260515000093
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 64057 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.

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 Jessica Dutton's NPI number?

The NPI number for Jessica Dutton is 1114745908. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Jessica Dutton located?

Jessica Dutton practices at 4200 Little Blue Pkwy Ste 300, Independence, MO 64057. The listed phone number is (816) 691-1800.

What is Jessica Dutton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Dutton enrolled in Medicare?

Yes. Jessica Dutton 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.

When was this NPI record last updated?

The NPPES record for Jessica Dutton was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.