Whitney Jackson, PA
NPI 1164238648 · Physician Assistant · Mission, KS
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Whitney Jackson, PA is a Physician Assistant provider in Mission, KS (NPI 1164238648).
Provider details
- NPI number
- 1164238648
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 15-03127 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3511 Clinton Pl Ste CLawrence, KS 66047-2213Phone: (785) 331-4488Fax: (785) 331-4338
Registry dates
- Enumerated
- 2024-12-09
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Frequently asked questions
- What is Whitney Jackson's NPI number?
- Whitney Jackson's National Provider Identifier (NPI) is 1164238648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Whitney Jackson's specialty?
- Whitney Jackson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Whitney Jackson located?
- Whitney Jackson's practice location on file with NPPES is 5820 Lamar Ave Ste 200, Mission, KS 66202-2655.
- What is Whitney Jackson's phone number?
- The practice phone number listed in the NPPES registry for Whitney Jackson is (913) 631-6330.
- Does Whitney Jackson accept Medicare?
- Whitney Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Whitney Jackson's NPI active?
- Yes — Whitney Jackson's NPI (1164238648) is active in the NPPES registry as of the last update on 2026-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.