CREEKWOOD FAMILY CARE
NPI 1417919283
Family Medicine in Gladstone, MO
About Creekwood Family Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CREEKWOOD FAMILY CARE (NPI 1417919283) is a healthcare organization registered as a family medicine in Gladstone, Missouri and active in the NPI registry since April 2006. The organization lists Carrie Jordan, Chief Practice Executive, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Creekwood Family Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Creekwood Family Care, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 25Gladstone, MO 64119
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jayhawk Primary Care Inc's NPI number?
The NPI number for Jayhawk Primary Care Inc is 1417919283. It was assigned to this organization in the NPPES registry on April 5, 2006. The provider is doing business as Creekwood Family Care.
Where is Jayhawk Primary Care Inc located?
Jayhawk Primary Care Inc is located at 6420 N Prospect Ave, Gladstone, MO 64119. The listed phone number is (913) 945-9700.
What is Jayhawk Primary Care Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jayhawk Primary Care Inc enrolled in Medicare?
Yes. Jayhawk Primary Care Inc is registered in the Medicare PECOS enrollment system.
When is Jayhawk Primary Care Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jayhawk Primary Care Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 2 Medicare specialties reassign their Medicare billing to Jayhawk Primary Care Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (13) and Family Practice (12). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jayhawk Primary Care Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield list Jayhawk Primary Care Inc 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 Jayhawk Primary Care Inc was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Creekwood Family Care · NPI 1417919283
Family Medicine organization in Gladstone, Missouri. Organization record, active in the CMS NPPES registry since April 5, 2006.
## Identity
- **NPI:** 1417919283 (Entity type: Organization)
- **Enumerated:** April 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Jayhawk Primary Care Inc
- **Organization subpart:** Yes (part of Jayhawk Primary Care Inc)
- **Authorized official:** Carrie Jordan, CHIEF PRACTICE EXECUTIVE
## Practice location
- **Address:** 6420 N PROSPECT AVE, Gladstone, MO 64119
- **Phone:** (913) 945-9700 · **Fax:** (913) 945-9707
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 25 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (12); 5 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1417919283/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2018
- **Other identifiers:** Other 10663011 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1417919283) · Data from the CMS NPPES public registry.