Jackson Primary Care LLC
NPI 1619961380 · 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 Primary Care LLC is a Family Medicine Physician organization in Jackson, MO (NPI 1619961380).
Provider details
- NPI number
- 1619961380
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deanna Siemer, Owner(573) 204-1400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2005-09-08
- Last updated
- 2010-10-26
Frequently asked questions
- What is Jackson Primary Care LLC's NPI number?
- Jackson Primary Care LLC's National Provider Identifier (NPI) is 1619961380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Primary Care LLC?
- Jackson Primary Care LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Primary Care LLC located?
- Jackson Primary Care LLC's practice location on file with NPPES is 2685 E Main St Suite a, Jackson, MO 63755.
- What is Jackson Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Primary Care LLC is (573) 204-1400.
- Does Jackson Primary Care LLC accept Medicare?
- Jackson Primary Care LLC 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 Primary Care LLC?
- The authorized official listed on Jackson Primary Care LLC's NPPES record is Deanna Siemer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Primary Care LLC's NPI active?
- Yes — Jackson Primary Care LLC's NPI (1619961380) is active in the NPPES registry as of the last update on 2010-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.