Jackson Medical Center PC
NPI 1508048125 · Family Medicine Physician · Jackson, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Medical Center PC is a Family Medicine Physician organization in Jackson, MO (NPI 1508048125).
Provider details
- NPI number
- 1508048125
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacey Cantrell, Manager(573) 335-1779
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2007-12-05
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Frequently asked questions
- What is Jackson Medical Center PC's NPI number?
- Jackson Medical Center PC's National Provider Identifier (NPI) is 1508048125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Medical Center PC?
- Jackson Medical Center PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Medical Center PC located?
- Jackson Medical Center PC's practice location on file with NPPES is 2387 W Jackson Blvd, Jackson, MO 63755-3024.
- What is Jackson Medical Center PC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Medical Center PC is (573) 243-9288.
- Does Jackson Medical Center PC accept Medicare?
- Jackson Medical Center PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Medical Center PC?
- The authorized official listed on Jackson Medical Center PC's NPPES record is Stacey Cantrell, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Medical Center PC's NPI active?
- Yes — Jackson Medical Center PC's NPI (1508048125) is active in the NPPES registry as of the last update on 2020-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.