Active NPI
Jennifer Chrisitne Massengale, M.D.
- Diagnostic Radiology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M9488
- Practice address
- 4321 Washington St
Suite 1000
Kansas City, MO 64111-5961 - Phone
- (816) 932-2307
- Fax
- (816) 932-7957
- NPI assigned
- May 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2013036390 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | M9488 | TX | Primary |
Addresses
Primary practice location
4321 Washington St
Suite 1000
Kansas City, MO 64111-5961
Mailing address
5800 Foxridge Dr
Ste 240
Mission, KS 66202-2338
Phone (913) 261-3153
Other practice location 1
2055 S Fremont Ave Ste 120
Springfield, MO 65804-2206
Phone (417) 820-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- George Washington University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2115
2055 S Fremont Ave
120 MC Breast Center
Springfield, MO 65804-2206
Phone (417) 820-2395
448 State Hwy 248
Suite 160
Branson, MO 65616-3725
Phone (417) 213-4696
5823 W 148TH PL
Overland Park, KS 66223-2648
Phone (417) 820-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients |
Locations
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
448 State Highway 248
Ste 160
Branson, MO 65616
Phone (417) 213-4696
3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
2055 S Fremont Ave
Ste 120
Springfield, MO 65804
Phone (417) 820-2395
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1043242159
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
- Critical Access Hospital
- Cassville, MO
- NPI 1285676932
-
- Medicare Defined Swing Bed Hospital Unit
- Aurora, MO
- NPI 1295878981
-
- Family Medicine Physician
- Carthage, MO
- NPI 1558628222
-
- Medicare Defined Swing Bed Hospital Unit
- Cassville, MO
- NPI 1154535342
-
- Medicare Defined Swing Bed Hospital Unit
- Springfield, MO
- NPI 1053907113
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- General Acute Care Hospital
- Lebanon, MO
- NPI 1447284898
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1740413988
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1093981102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 FOXRIDGE DR",
"address_2": "STE 240",
"city": "MISSION",
"state": "KS",
"postal_code": "662022338",
"telephone_number": "913-261-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 WASHINGTON ST",
"address_2": "SUITE 1000",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115961",
"telephone_number": "816-932-2307",
"fax_number": "816-932-7957"
}
],
"practiceLocations": [
{
"address_1": "2055 S Fremont Ave Ste 120",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658042206",
"country_code": "US",
"telephone_number": "417-820-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSENGALE",
"first_name": "JENNIFER",
"middle_name": "CHRISITNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2013036390",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M9488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.