1. Home
  2. Directory
  3. Missouri
  4. Kansas City
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JACOB CHARLES ANDERSEN DO
NPI 1659174837
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Active since March 31, 2025PECOS Enrolled
2301 HOLMES ST, KANSAS CITY, MO 64108(816) 404-4175(816) 404-0003 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Charles Andersen Do NPPES

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

JACOB CHARLES ANDERSEN DO (NPI 1659174837) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659174837
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB CHARLES ANDERSENCredential: DO
Location Address2301 HOLMES STKansas City, MO 64108-2640
Mailing Address12811 Saint Charles BlvdLittle Rock, AR 72211-2105 · (918) 671-6922
Phone(816) 404-4175
Fax(816) 404-0003
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1659174837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2301 HOLMES ST, Kansas City, MO 64108
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Charles Andersen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KYLA WESELY
Dietitian, Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-2461
HANNAH BROWN
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4070
AJANTA JINHEE RAMAN APRN
Nurse Practitioner (Adult Health)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1325
DR. JORDAN HENRY HELD MD
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4175
STEPHEN C SHOE PHARMD
Pharmacist
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4293
LOVELIGHT N JONAH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1000
DIVYA GANESH REDDY
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (517) 599-4748
DR. STEPHEN M EIKERMANN D.O.
Internal Medicine (Critical Care Medicine)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-5495

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 Andersen's NPI number?

The NPI number for Jacob Andersen is 1659174837. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Jacob Andersen located?

Jacob Andersen practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (816) 404-4175.

What is Jacob Andersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob Andersen enrolled in Medicare?

Yes. Jacob Andersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Andersen was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.