DR. JESSICA PETERSON D.O.
NPI 1871906107
Psychiatry & Neurology - Psychiatry in Kansas City, MO

Q: What is Jessica Peterson's NPI number?

The NPI number for Jessica Peterson is 1871906107. It was assigned to this individual provider in the NPPES registry on June 4, 2014. The provider is also known as Jessica Wilbur Do.

Q: What is Jessica Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Peterson was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 04, 2014PECOS EnrolledAccepts Medicare Assignment

211 NE 54TH ST STE 201, KANSAS CITY, MO 64118(816) 453-6777(816) 454-3601 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2024, Apr 18, 2024, Apr 18, 2019 and 3 more (6 updates tracked since 2018).

On this page

About Dr. Jessica Peterson D.o. NPPES

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

DR. JESSICA PETERSON D.O. (NPI 1871906107) is an individual psychiatry provider in Kansas City, Missouri, licensed in Florida (OS14979) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1871906107

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JESSICA PETERSONCredential: D.O.

Location Address211 NE 54TH ST STE 201Kansas City, MO 64118-4330

Mailing Address2670 Retriever DrClermont, FL 34711-5488 · (954) 257-4158

Phone(816) 453-6777

Fax(816) 454-3601

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 4, 2014

Last NPPES UpdateMay 1, 20256 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1871906107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in FL · OS14979✔ Licensed in MO · 2022031193✔ Licensed in HI · DOS-1955

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

211 NE 54TH ST STE 201, Kansas City, MO 64118

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Other Names 1

Former Name (1)Jessica Wilbur Do

Other Identifiers 1

OtherOS14979FL · Doh Mqa

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 Texas, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jessica Peterson D.o. 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 ID8325382732

PECOS Enrollment IDI20181211002607, I20191119000878, I20231031001104

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 Reassignments

Medicare enrollment records show Jessica Peterson reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meritas Health

Same address

Psychiatry

211 NE 54TH ST, SUITE 201
Kansas City, MO 64118

Reassigned Medicare billing, Missouri enrollment
702 clinicians in this Medicare group

NPI 1639569676 (816) 453-6777

Missouri Delta Medical Center

315 mi

Internal Medicine

1008 N MAIN ST
Sikeston, MO 63801

Reassigned Medicare billing, Missouri enrollment
203 clinicians in this Medicare group

NPI 1508967860 (573) 471-1600

Jennie Stuart Medical Center Inc

414 mi

Rural Health

241 S MADISONVILLE ST
Crofton, KY 42217

Reassigned Medicare billing, Kentucky enrollment
169 clinicians in this Medicare group

NPI 1598602195 (270) 220-0240

Stem Medical Group, PC

555 mi

Neurology

501 S CHERRY ST STE 1100
Denver, CO 80246

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1508592361 (800) 975-1652

Stem Medical Group Michigan PC

555 mi

Neurological Surgery

501 S CHERRY ST STE 1100
Denver, CO 80246

Reassigned Medicare billing, Florida enrollment
6 clinicians in this Medicare group

NPI 1336875186 (800) 975-1652

Connections Healthva, LLC

920 mi

Psychiatric Residential Treatment Facility

14554 LEE RD
Chantilly, VA 20151

Reassigned Medicare billing, District of Columbia enrollment
32 clinicians in this Medicare group

NPI 1306524285 (520) 301-2400

Holon Health Great Lakes, P.C.

926 mi

Family Medicine

11551 NUCKOLS RD STE R
Glen Allen, VA 23059

Reassigned Medicare billing, Kentucky, Missouri and Pennsylvania enrollments
Medicare enrollment name: Holon Health Great Lakes PC
4 clinicians in this Medicare group

NPI 1194414805 (877) 465-6650

Connectionspa LLC

945 mi

Adult Mental Health

1100 S CAMERON ST STE 2
Harrisburg, PA 17104

Reassigned Medicare billing, Pennsylvania enrollment
30 clinicians in this Medicare group

NPI 1952141889 (520) 301-2400

Connections Southernaz, LLC

1,037 mi

Adult Mental Health

2802 E DISTRICT ST FL 2
Tucson, AZ 85714

Reassigned Medicare billing, Arizona enrollment
37 clinicians in this Medicare group

NPI 1821755141 (520) 301-2400

Connectionsaz, LLC

1,052 mi

Multi-Specialty

1201 S 7TH AVE STE 105
Phoenix, AZ 85007

Reassigned Medicare billing, Arizona enrollment
55 clinicians in this Medicare group

NPI 1083840953 (602) 253-5100

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

72 services70 patients

Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408

A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.

16 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hilo Medical Center

Acute Care Hospitals · Hilo, HI

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number120005

Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County

Emergency services Birthing friendly

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260113

Location1008 North Main StSikeston, MO 63801 · Scott County

Emergency services Birthing friendly

Trios Health

Acute Care Hospitals · Kennewick, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500053

Location900 South Auburn StreetKennewick, WA 99336 · Benton County

Emergency services Birthing friendly

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number510048

Location20 Hospital DriveLogan, WV 25601 · Logan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64118 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

$168.52 typical visit price

range $55.29 – $168.52

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

Most-billed visit code 99205

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

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 7

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

HANNAH PETERSON

Social Worker