MS. COURTNEY J JACK APRN-BC
NPI 1336740620
Nurse Practitioner - Family in Lees Summit, MO
About Ms. Courtney J Jack Aprn-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. COURTNEY J JACK APRN-BC (NPI 1336740620) is an individual family provider in Lees Summit, Missouri, licensed in Missouri (2020029102) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Courtney J Jack Aprn-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.
Medicare Billing Reassignments
16Medicare enrollment records show Courtney Jack reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lees Summit, MO 64081
- Reassigned Medicare billing, Missouri enrollment
- 183 clinicians in this Medicare group
Lees Summit, MO 64081
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 168 clinicians in this Medicare group
Lenexa, KS 66215
- Reassigned Medicare billing, Kansas enrollment
- 135 clinicians in this Medicare group
Osceola, IA 50213
- Reassigned Medicare billing, Iowa enrollment
- 204 clinicians in this Medicare group
Osceola, IA 50213
- Reassigned Medicare billing, Iowa and Nebraska enrollments
- 217 clinicians in this Medicare group
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 90 clinicians in this Medicare group
Minneapolis, MN 55437
- Reassigned Medicare billing, Minnesota enrollment
- 93 clinicians in this Medicare group
Chicago, IL 60604
- Reassigned Medicare billing, Illinois enrollment
- 68 clinicians in this Medicare group
Chicago, IL 60604
- Reassigned Medicare billing, Illinois enrollment
- 73 clinicians in this Medicare group
Hartford, WI 53027
- Reassigned Medicare billing, Wisconsin enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEES SUMMIT, MO 64081
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 Courtney Jack's NPI number?
The NPI number for Courtney Jack is 1336740620. It was assigned to this individual provider in the NPPES registry on November 4, 2020. The provider is also known as Courtney J Perkins Aprn-Bc.
Where is Courtney Jack located?
Courtney Jack practices at 400 SW Longview Blvd Ste 280, Lees Summit, MO 64081. The listed phone number is (816) 477-7200.
What is Courtney Jack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Courtney Jack enrolled in Medicare?
Yes. Courtney Jack 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.
Which organizations bill Medicare for Courtney Jack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Jack reassigns Medicare benefits to 16 organizations: Ch Specialty Services Mo LLC (Lees Summit, MO), Curana Health Of Missouri-Kansas LLC (Lees Summit, MO), Ch Specialty Services Ks LLC (Lenexa, KS), Ch Specialty Services Ia PC (Osceola, IA), Curana Health Of Iowa PLLC (Osceola, IA) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Jack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Jack accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City and 5 other insurers list Courtney Jack 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 Courtney Jack was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Courtney J Jack, APRN-BC · NPI 1336740620
Family physician in Lees Summit, Missouri. Individual provider, active in the CMS NPPES registry since November 4, 2020.
## Identity
- **NPI:** 1336740620 (Entity type: Individual)
- **Enumerated:** November 4, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2020029102 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 SW LONGVIEW BLVD STE 280, Lees Summit, MO 64081-2157
- **Phone:** (816) 477-7200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Ch Specialty Services Mo LLC (NPI 1194422253, Lees Summit, MO); Curana Health Of Missouri-Kansas LLC (NPI 1306165337, Lees Summit, MO); Ch Specialty Services Ks LLC (NPI 1770282188, Lenexa, KS); Ch Specialty Services Ia PC (NPI 1942909353, Osceola, IA); Curana Health Of Iowa PLLC (NPI 1730773714, Osceola, IA); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336740620) · Data from the CMS NPPES public registry.