KERI D JACKSON AGACNP-BC
NPI 1144812744
Nurse Practitioner - Acute Care in Kansas City, MO

Active since February 05, 2021PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4401 WORNALL RD, KANSAS CITY, MO 64111(816) 932-2397 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keri D Jackson Agacnp-bc NPPES

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

KERI D JACKSON AGACNP-BC (NPI 1144812744) is an individual acute care provider in Kansas City, Missouri, licensed in Missouri (2021004379) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144812744
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKERI D JACKSONCredential: AGACNP-BC
Location Address4401 WORNALL RDKansas City, MO 64111-3220
Mailing Address14413 Grant StOverland Park, KS 66221-2521
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 5, 2021
NPPES CertifiedJanuary 26, 2021
NPI 1144812744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MO · 2021004379
4401 WORNALL RD, Kansas City, MO 64111

Accepted 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

Keri D Jackson Agacnp-bc 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 ID4284049586
PECOS Enrollment IDI20210218002740, I20240506000387
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.

Hospital Affiliations CMS Care Compare 3

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

Registered Nurse (Neonatal Intensive Care)
4401 WORNALL RD
KANSAS CITY, MO 64111
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Radiology (Diagnostic Radiology)
4401 WORNALL RD
KANSAS CITY, MO 64111
Anesthesiologist Assistant
4401 WORNALL RD
KANSAS CITY, MO 64111
Internal Medicine
4401 WORNALL RD
KANSAS CITY, MO 64111
Physical Medicine & Rehabilitation
4401 WORNALL RD, REHAB PHYSICIANS MEDICAL GROUP, MAIN 4
KANSAS CITY, MO 64111
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Emergency Medicine (Emergency Medical Services)
4401 WORNALL RD
KANSAS CITY, MO 64111

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 Keri Jackson's NPI number?

The NPI number for Keri Jackson is 1144812744. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Where is Keri Jackson located?

Keri Jackson practices at 4401 Wornall Rd, Kansas City, MO 64111. The listed phone number is (816) 932-2397.

What is Keri Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Keri Jackson enrolled in Medicare?

Yes. Keri 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 Keri Jackson accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Keri 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 Keri Jackson affiliated with any hospitals?

According to CMS data, Keri Jackson is affiliated with Saint Luke's South Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Keri Jackson was last updated on February 5, 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.