TRAVIS LEE JACOBS PHYSICIAN ASSISTANT
NPI 1154555761
Physician Assistant in Kansas City, MO

Q: What is Travis Jacobs's NPI number?

The NPI number for Travis Jacobs is 1154555761. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Q: What is Travis Jacobs's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Travis Jacobs was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 11, 2009PECOS EnrolledAccepts Medicare Assignment

10015 N. AMBASSADOR DRIVE, KANSAS CITY, MO 64153(816) 595-4000(816) 595-4001 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2025, Aug 27, 2022 (2 updates tracked since 2022).

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About Travis Lee Jacobs Physician Assistant NPPES

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

TRAVIS LEE JACOBS PHYSICIAN ASSISTANT (NPI 1154555761) is an individual physician assistant in Kansas City, Missouri, licensed in Georgia (1086052) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1154555761

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTRAVIS LEE JACOBSCredential: PHYSICIAN ASSISTANT

Location Address10015 N. AMBASSADOR DRIVEKansas City, MO 64153-1365

Mailing Address521 E 117th StKansas City, MO 64131-3805 · (315) 778-8749

Phone(816) 595-4000

Fax(816) 595-4001

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 11, 2009

Last NPPES UpdateMay 9, 20252 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1154555761 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 GA · 1086052

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.

10015 N. AMBASSADOR DRIVE, Kansas City, MO 64153

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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

Travis Lee Jacobs Physician Assistant 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 ID7214323534

PECOS Enrollment IDI20250712000286

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 64153 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.

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 Travis Jacobs's NPI number?

The NPI number for Travis Jacobs is 1154555761. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Travis Jacobs located?

Travis Jacobs practices at 10015 N. Ambassador Drive, Kansas City, MO 64153. The listed phone number is (816) 595-4000.

What is Travis Jacobs's specialty?

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

Is Travis Jacobs enrolled in Medicare?

Yes. Travis Jacobs 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 Travis Jacobs was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.