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JACLYN E.A. LEGG D.O.
NPI 1558624890
Psychiatry & Neurology - Child & Adolescent Psychiatry in Prairie Village, KS

Active since June 21, 2012Opted out of Medicare · through Jul 30, 2027
4121 W 83RD ST STE 254, PRAIRIE VILLAGE, KS 66208(913) 291-0076(913) 951-0656 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2023, Jan 28, 2021, Aug 22, 2017 (3 updates tracked since 2017).

About Jaclyn E.a. Legg D.o. NPPES

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

JACLYN E.A. LEGG D.O. (NPI 1558624890) is an individual child & adolescent psychiatry provider in Prairie Village, Kansas, licensed in Kansas (0539323) and active in the NPI registry since June 2012. She has opted out of Medicare through July 30, 2027.

NPPES Registry Identity

NPI1558624890
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameJACLYN E.A. LEGGCredential: D.O.
Location Address4121 W 83RD ST STE 254Prairie Village, KS 66208-5303
Mailing Address4121 W 83rd St Ste 254Prairie Village, KS 66208-5303 · (913) 291-0076 · Fax (913) 951-0656
Phone(913) 291-0076
Fax(913) 951-0656
Sole ProprietorNo
Enumeration DateJune 21, 2012
Last NPPES UpdateJuly 18, 20233 updates tracked since enumeration
NPPES CertifiedMarch 19, 2023
✔ NPI 1558624890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in KS · 0539323
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0539323 (KS)
4121 W 83RD ST STE 254, Prairie Village, KS 66208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jaclyn E.a. Legg D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 30, 2025 through July 30, 2027.

Opt-Out Effective DateJuly 30, 2025
Opt-Out In Effect ThroughJuly 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARSHA A. FAUBION NP
Nurse Practitioner (Psychiatric/Mental Health)
4121 W 83RD ST STE 254
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 291-0076
ELIZABETH L MASSMAN
Nurse Practitioner (Psychiatric/Mental Health)
4121 W 83RD ST STE 254
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 291-0076
MONARCH MENTAL HEALTH LLC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4121 W 83RD ST STE 254
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 291-0076

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 Jaclyn Legg's NPI number?

The NPI number for Jaclyn Legg is 1558624890. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Jaclyn Legg located?

Jaclyn Legg practices at 4121 W 83rd St Ste 254, Prairie Village, KS 66208. The listed phone number is (913) 291-0076.

What is Jaclyn Legg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jaclyn Legg enrolled in Medicare?

No. Jaclyn Legg has opted out of Medicare through July 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jaclyn Legg accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and UnitedHealthcare list Jaclyn Legg 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 Jaclyn Legg was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.