Travis Lee Jacobs, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

10015 N. Ambassador Drive
Kansas City, MO 64153-1365

Phone

(816) 595-4000

Fax

(816) 595-4001

NPI assigned

May 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergent Care Plus LLCGroup PAC ID 0547328460, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emergent Care Plus, LLC

  • Urgent Care Clinic/Center
  • Lees Summit, MO
  • NPI 1396923181
  Medicare reassignment Care Compare group
• Nextcare Missouri LLC

  • Urgent Care Clinic/Center
  • Columbia, MO
  • NPI 1245694082
  Medicare reassignment
• Providence Urgent Care LLC

  • Urgent Care Clinic/Center
  • Columbia, MO
  • NPI 1144478033
  NPD
• Kansas City Active Sports Medicine Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1063838647
  NPD (past)
• Urgent Care Express LLC

  • Urgent Care Clinic/Center
  • Saint Joseph, MO
  • NPI 1407063209
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1154555761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E 117TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313805",
            "telephone_number": "315-778-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 N. AMBASSADOR DRIVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531365",
            "telephone_number": "816-595-4000",
            "fax_number": "816-595-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "TRAVIS",
        "middle_name": "LEE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1086052",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kala Jacobs, SSP
• Kristina Carlile Jacobs, LMSW
• Rachel Erin Jacobs, M.D.
• Shannon Rebecca Jacobs, PA-C
• Tamayo S Jacobs, MD
• Zachary David Jacobs, MD
• Cynthia H Jacobsen, PH.D
• Emily K Jacobsen
• Ryan Cody Jacobsen, M.D.
• Jill Jacobson, M.D.

• Physician Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.

Verify at the official NPI Registry.