Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB STANLEY MSA AA
NPI 1205601630
Anesthesiologist Assistant in Kansas City, MO

Q: What is Jacob Stanley's NPI number?

The NPI number for Jacob Stanley is 1205601630. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Q: What is Jacob Stanley's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Stanley was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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 November 15, 2023Accepts Medicare Assignment

4401 WORNALL RD, KANSAS CITY, MO 64111(816) 932-3679(816) 932-9089 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jacob Stanley Msa Aa NPPES

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

JACOB STANLEY MSA AA (NPI 1205601630) is an individual anesthesiologist assistant in Kansas City, Missouri, licensed in Missouri (2024001731) and active in the NPI registry since November 2023. He is affiliated with Christian Hospital Northeast and is a graduate of University Of Colorado School Of Medicine, Denver (2023).

NPPES Registry Identity

NPI1205601630

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameJACOB STANLEYCredential: MSA AA

Location Address4401 WORNALL RDKansas City, MO 64111-3220

Mailing Address4401 Wornall RdKansas City, MO 64111-3220 · (816) 932-3679 · Fax (816) 932-9089

Phone(816) 932-3679

Fax(816) 932-9089

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2023

Enumeration DateNovember 15, 2023

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1205601630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in MO · 2024001731

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

4401 WORNALL RD, Kansas City, MO 64111

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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

Jacob Stanley Msa Aa 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 ID6305299421

PECOS Enrollment IDI20240125000753

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

17 services17 patients

Insertion of tube in pulmonary artery for monitoring 93503

This procedure involves placing a tube into your pulmonary artery, which is a blood vessel in your lungs. The tube helps monitor heart function and blood flow, providing vital information for your treatment. It's typically done under local anesthesia to minimize discomfort.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260180

Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County

Emergency services

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.

TANESHA ANTANETTE HURT RN

Registered Nurse (Neonatal Intensive Care)

4401 WORNALL RD
KANSAS CITY, MO 64111

Jackson County (816) 932-2007

MARIA AKRAM SHEIKH M.D.

Hospitalist

4401 WORNALL RD
KANSAS CITY, MO 64111

Jackson County (816) 932-0340

YURI SHIF M.D.

Radiology (Diagnostic Radiology)

4401 WORNALL RD
KANSAS CITY, MO 64111

Jackson County (816) 932-2550

LAURA SHELBY REYNOLDS CAA

Anesthesiologist Assistant

4401 WORNALL RD
KANSAS CITY, MO 64111

Jackson County (816) 932-2000

TYLER PORTER MD

Internal Medicine

4401 WORNALL RD
KANSAS CITY, MO 64111

Jackson County (816) 932-0340

DR. LISA MARIE HERMES M.D.

Physical Medicine & Rehabilitation

4401 WORNALL RD, REHAB PHYSICIANS MEDICAL GROUP, MAIN 4
KANSAS CITY, MO 64111

Jackson County (816) 932-2020

CHRISTINE M. SANKPILL M.D.

Hospitalist

4401 WORNALL RD
KANSAS CITY, MO 64111

Jackson County (816) 932-0340

DR. JOHN LOREI M.D.

Emergency Medicine (Emergency Medical Services)

4401 WORNALL RD
KANSAS CITY, MO 64111

Jackson County (816) 932-2047

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 Jacob Stanley's NPI number?

The NPI number for Jacob Stanley is 1205601630. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Where is Jacob Stanley located?

Jacob Stanley practices at 4401 Wornall Rd, Kansas City, MO 64111. The listed phone number is (816) 932-3679.

What is Jacob Stanley's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jacob Stanley enrolled in Medicare?

Yes. Jacob Stanley 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.

Is Jacob Stanley affiliated with any hospitals?

According to CMS data, Jacob Stanley is affiliated with Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Jacob Stanley was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.