Courtney Jack, APRN-BC
NPI 1336740620 · Family Nurse Practitioner · Lees Summit, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Courtney Jack, APRN-BC is a Family Nurse Practitioner provider in Lees Summit, MO (NPI 1336740620).
Provider details
- NPI number
- 1336740620
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 209.031610 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
600 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 264 | $87 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 118 | $60 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 76 | $60 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 52 | $87 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 47 | $103 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 147 | — |
| Mirtazapine | 86 | — |
| Potassium Chloride | 74 | — |
| Tramadol Hcl | 69 | 21 |
| Furosemide | 69 | — |
| Trazodone Hcl | 64 | — |
| Alprazolam | 52 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2025-03-21
- Certified
- 2025-03-21
Frequently asked questions
- What is Courtney Jack's NPI number?
- Courtney Jack's National Provider Identifier (NPI) is 1336740620, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Courtney Jack's specialty?
- Courtney Jack is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Courtney Jack located?
- Courtney Jack's practice location on file with NPPES is 400 Sw Longview Blvd Ste 280, Lees Summit, MO 64081-2157.
- What is Courtney Jack's phone number?
- The practice phone number listed in the NPPES registry for Courtney Jack is (816) 477-7200.
- Does Courtney Jack accept Medicare?
- Courtney Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Courtney Jack's NPI active?
- Yes — Courtney Jack's NPI (1336740620) is active in the NPPES registry as of the last update on 2025-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.