MRS. RACHEL NICOLE JONES WHNP-BC
NPI 1538467816
Nurse Practitioner - Women's Health in Blue Springs, MO
About Mrs. Rachel Nicole Jones Whnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. RACHEL NICOLE JONES WHNP-BC (NPI 1538467816) is an individual women's health provider in Blue Springs, Missouri, licensed in Missouri (2009037293) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and maintains a secondary practice location in Blue Springs.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Mrs. Rachel Nicole Jones Whnp-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 Reassignment
Medicare enrollment records show Rachel Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Blue Springs, MO 64014
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 1,339 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Hospital Of Kansas City
Acute Care Hospitals · Kansas City, MOSaint Luke's East Hospital
Acute Care Hospitals · Lees Summit, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Rachel Jones's NPI number?
The NPI number for Rachel Jones is 1538467816. It was assigned to this individual provider in the NPPES registry on March 10, 2011.
Where is Rachel Jones located?
Rachel Jones practices at 1132 W 40 Hwy, Blue Springs, MO 64015. The listed phone number is (816) 228-4400.
What is Rachel Jones's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Rachel Jones enrolled in Medicare?
Yes. Rachel Jones 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 organization bills Medicare for Rachel Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Jones reassigns Medicare benefits to Saint Luke's Physician Group Inc (Blue Springs, MO). The 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 Rachel Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel Jones accept?
Health plans from Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Rachel Jones 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 Rachel Jones affiliated with any hospitals?
According to CMS data, Rachel Jones is affiliated with St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.
When was this NPI record last updated?
The NPPES record for Rachel Jones was last updated on February 27, 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.
# Mrs. Rachel Nicole Jones, WHNP-BC · NPI 1538467816
Women's Health physician in Blue Springs, Missouri. Individual provider, active in the CMS NPPES registry since March 10, 2011.
## Identity
- **NPI:** 1538467816 (Entity type: Individual)
- **Enumerated:** March 10, 2011
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 2009037293 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1132 W 40 HWY, Blue Springs, MO 64015-4610
- **Phone:** (816) 228-4400
## 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:** Saint Luke's Physician Group Inc (NPI 1376257220, Blue Springs, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1538467816) · Data from the CMS NPPES public registry.