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ANNIE JACK
NPI 1669861985
Speech-Language Pathologist in Independence, MO

Active since January 12, 2015Accepts Medicare Assignment
3980 E JACKSON DR, INDEPENDENCE, MO 64057(816) 795-1433 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annie Jack NPPES

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

ANNIE JACK (NPI 1669861985) is an individual speech-language pathologist provider in Independence, Missouri, licensed in Missouri (2012011146) and active in the NPI registry since January 2015. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1669861985
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNIE JACK
Location Address3980 E JACKSON DRIndependence, MO 64057-2205
Mailing Address703 Nw Par DrGrain Valley, MO 64029-7347
Phone(816) 795-1433
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 12, 2015
✔ NPI 1669861985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MO · 2012011146
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3980 E JACKSON DR, Independence, MO 64057
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annie Jack 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.

PECOS PAC ID6305355793
PECOS Enrollment IDI20250605002213, I20250605003170

Other Providers at the Same Location NPPES 7

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

MRS. EMILY ANNA CRAVER
Speech-Language Pathologist
3980 E JACKSON DR
INDEPENDENCE, MO 64057
Jackson County (816) 795-1433
CATHERINE JOHNSTON
Occupational Therapy Assistant
3980 E JACKSON DR
INDEPENDENCE, MO 64057
Jackson County (816) 795-1433
MRS. KIMBERLEE ANN SHEAHON DPT
Physical Therapist
3980 E JACKSON DR
INDEPENDENCE, MO 64057
Jackson County (816) 795-1433
EMILY FORD MOT, OTR/L
Occupational Therapist
3980 E JACKSON DR
INDEPENDENCE, MO 64057
Jackson County (816) 795-1433
SENA MARIE SUMPTER
Physical Therapy Assistant
3980 E JACKSON DR
INDEPENDENCE, MO 64057
Jackson County (816) 795-1433
NATHAN RYAN RICHARDSON
Occupational Therapy Assistant
3980 E JACKSON DR
INDEPENDENCE, MO 64057
Jackson County (816) 195-1433
VILLAGES OF JACKSON CREEK LLC
Skilled Nursing Facility
3980 E JACKSON DR
INDEPENDENCE, MO 64057
Jackson County (816) 795-1433

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 Annie Jack's NPI number?

The NPI number for Annie Jack is 1669861985. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Where is Annie Jack located?

Annie Jack practices at 3980 E Jackson Dr, Independence, MO 64057. The listed phone number is (816) 795-1433.

What is Annie Jack's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Annie Jack enrolled in Medicare?

Yes. Annie 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.

What insurance does Annie Jack accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Annie 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 Annie Jack was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.