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DR. BREAUNNAH BLOOMER JACKSON MD
NPI 1831759877
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kansas City, MO

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment
10918 ELM AVE STE 102, KANSAS CITY, MO 64134(816) 767-4346(816) 251-6367 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Jul 8, 2025, Jun 20, 2019 (3 updates tracked since 2019).

About Dr. Breaunnah Bloomer Jackson Md NPPES

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

DR. BREAUNNAH BLOOMER JACKSON MD (NPI 1831759877) is an individual child & adolescent psychiatry provider in Kansas City, Missouri, licensed in Louisiana (325879) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2019).

NPPES Registry Identity

NPI1831759877
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. BREAUNNAH BLOOMER JACKSONCredential: MD
Location Address10918 ELM AVE STE 102Kansas City, MO 64134-2284
Mailing Address901 E 104th StKansas City, MO 64131-4517
Phone(816) 767-4346
Fax(816) 251-6367
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2019
Enumeration DateJune 20, 2019
Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1831759877 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 LA · 325879
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 313326 (LA)

Other Names 1

Former Name (1)Breaunnah Elaine Bloomer Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana and more.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

Dr. Breaunnah Bloomer Jackson Md 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 ID1850627100
PECOS Enrollment IDI20240808002543, I20250917003655
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 9

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

MS. NANCY S. WOLFF LCSW
Social Worker (Clinical)
10918 ELM AVE STE 102
KANSAS CITY, MO 64134
Jackson County (816) 765-6600
KELSEY LEA JANVIER LPC
Counselor
10918 ELM AVE STE 102
KANSAS CITY, MO 64134
Jackson County (816) 765-6600
AUKEYSIA R TATE LCSW
Social Worker (Clinical)
10918 ELM AVE STE 102
KANSAS CITY, MO 64134
Jackson County (816) 767-4346
DR. CHAD ELDER D.O.
Psychiatry & Neurology (Psychiatry)
10918 ELM AVE STE 102
KANSAS CITY, MO 64134
Jackson County (816) 765-6600
DR. KAYLA GERTSEMA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
10918 ELM AVE STE 102
KANSAS CITY, MO 64134
Jackson County (816) 765-6600
EMILY SAWYER RN
Nurse Practitioner (Psychiatric/Mental Health)
10918 ELM AVE STE 102
KANSAS CITY, MO 64134
Jackson County (816) 765-6600
MR. CASEY EDEN JACKSON PLPC
Counselor (Professional)
10918 ELM AVE STE 102
KANSAS CITY, MO 64134
Jackson County (816) 767-4230
DR. BRIAN TERRY CUTHBERTSON M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
10918 ELM AVE STE 102
KANSAS CITY, MO 64134
Jackson County (816) 767-4346

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 Breaunnah Jackson's NPI number?

The NPI number for Breaunnah Jackson is 1831759877. It was assigned to this individual provider in the NPPES registry on June 20, 2019. The provider is also known as Breaunnah Elaine Bloomer MD.

Where is Breaunnah Jackson located?

Breaunnah Jackson practices at 10918 Elm Ave Ste 102, Kansas City, MO 64134. The listed phone number is (816) 767-4346.

What is Breaunnah Jackson's specialty?

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

Is Breaunnah Jackson enrolled in Medicare?

Yes. Breaunnah Jackson 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 Breaunnah Jackson accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana, Providence Health Plan and UnitedHealthcare list Breaunnah Jackson 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 Breaunnah Jackson was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.