JORDON MITZELFELT
NPI 1750844932
Pediatrics in Kansas City, MO

Q: What is Jordon Mitzelfelt's NPI number?

The NPI number for Jordon Mitzelfelt is 1750844932. It was assigned to this individual provider in the NPPES registry on April 13, 2019.

Q: What is Jordon Mitzelfelt's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jordon Mitzelfelt was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 13, 2019PECOS Enrolled

2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2023, Aug 26, 2020, Jul 31, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Jordon Mitzelfelt NPPES

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

JORDON MITZELFELT (NPI 1750844932) is an individual pediatrics provider in Kansas City, Missouri, licensed in Missouri (2023014549) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750844932

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJORDON MITZELFELT

Location Address2401 GILLHAM RDKansas City, MO 64108-4619

Mailing Address2401 Gillham RdKansas City, MO 64108-4619 · (816) 234-3000

Phone(816) 234-3000

Sole ProprietorNo

Enumeration DateApril 13, 2019

Last NPPES UpdateJune 17, 20264 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1750844932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MO · 2023014549✔ Licensed in KS · 94-11323✔ Licensed in MN · 67957

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2401 GILLHAM RD, Kansas City, MO 64108

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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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordon Mitzelfelt 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.

Medicare Billing Reassignment

Medicare enrollment records show Jordon Mitzelfelt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Springfield Communities

90 mi

Rural Health

309 E HOSPITAL RD
El Dorado Springs, MO 64744

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1245277631 (Missouri)
1,487 clinicians in this Medicare group

NPI 1851427785 (417) 876-5851

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RYAN A ROMANS MD

Pediatrics (Pediatric Cardiology)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

JENNIFER BITNER MSN, APRN, FNP-C

Nurse Practitioner (Family)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (913) 234-3000

SAMIRA NAIME M.D.

Pediatrics (Sleep Medicine)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

MICHELLE RENEE MIDDLETON AU.D.

Audiologist

2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108

Jackson County (816) 960-4009

MRS. SHERILYN KELLY APRN

Nurse Practitioner (Neonatal, Critical Care)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

MADALYN NICOLE SINGLETON DO

Student in an Organized Health Care Education/Training Program

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

EMMA LYNNE WORLEY CAA

Anesthesiologist Assistant

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

DR. FAYTH WALBRIDGE PHD

Psychologist (Clinical)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (308) 655-0842

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 Jordon Mitzelfelt's NPI number?

The NPI number for Jordon Mitzelfelt is 1750844932. It was assigned to this individual provider in the NPPES registry on April 13, 2019.

Where is Jordon Mitzelfelt located?

Jordon Mitzelfelt practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is Jordon Mitzelfelt's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jordon Mitzelfelt enrolled in Medicare?

Yes. Jordon Mitzelfelt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordon Mitzelfelt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordon Mitzelfelt reassigns Medicare benefits to Mercy Clinic Springfield Communities (El Dorado 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 Jordon Mitzelfelt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordon Mitzelfelt accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Jordon Mitzelfelt 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 Jordon Mitzelfelt was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.