Individual provider Active NPI

Jennifer Chrisitne Massengale, M.D.

  • Diagnostic Radiology Physician
  • Kansas City, MO
National Provider Identifier
1093981102
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M9488 Issued in TX
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

Updated by the provider on Aug 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140124000196 KS Practitioner - Diagnostic Radiology 5193890549 Reassigns benefits to 1 organization
I20140124000311 MO Practitioner - Diagnostic Radiology 5193890549 Reassigns benefits to 10 organizations

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 Hospital SpringfieldGroup PAC ID 7416867593, 54 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

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

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Jan 1, 2025 Accepting new patients
Mercy Hospital Cassville CurrentSince Jan 1, 2025 Accepting new patients
Mercy Hospital Carthage CurrentSince Jan 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 1, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 1, 2022 Accepting new patients
Mercy Hospital Aurora CurrentSince Jan 1, 2025 Accepting new patients
Mercy Hospital Cassville CurrentSince Jan 1, 2025 Accepting new patients
Mercy Hospital Springfield CurrentSince Dec 27, 2024 Accepting new patients
Mercy Hospital Springfield CurrentSince Dec 27, 2024 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jan 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 1, 2022 Accepting new patients
Mercy Hospital Aurora CurrentSince Jan 1, 2025 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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.