Tara L Jackson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2012041039 Issued in MO

Practice address

4000 Cambridge St
Kansas City, KS 66160-8501

Phone

(913) 588-1227

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
• Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.jackson@hca2.eclinicaldirectplus.com

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.

• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1003858333
  Medicare reassignment Care Compare group
• Mosaic Medical Center - Maryville

  • Specialist
  • Maryville, MO
  • NPI 1184189797

  Family

  Medicare reassignment NPD
• Northwest Medical Center Association Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Albany, MO
  • NPI 1124164322
  Medicare reassignment NPD
• Kansas University Physicians Inc

  • Orthopaedic Surgery Physician
  • Kansas City, KS
  • NPI 1306982236
  NPD
• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD
• Heartland Regional Medical Center

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1477575405
  NPD
• Midwest Trauma Services, LLC

  • Trauma Surgery Physician
  • Kansas City, MO
  • NPI 1063468361
  NPD
• Mosaic Medical Center - Maryville

  • Psychiatric Hospital Unit
  • Maryville, MO
  • NPI 1477027803
  NPD
• Northwest Medical Center Association Inc

  • Family Medicine Physician
  • Albany, MO
  • NPI 1447313721
  NPD
• Kansas City Vascular & General Surgery Group LLC

  • Vascular Surgery Physician
  • Overland Park, KS
  • NPI 1295968865
  NPD (past)
• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1699811521
  NPD (past)

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

• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation
• Heartland Regional Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation
• Mosaic Medical Center - Maryville

  • Critical Access Hospital
  • Maryville, MO
  • NPI 1265906663
  Care Compare affiliation

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1184979098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 HOLMES RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311675",
            "telephone_number": "816-276-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Holmes Rd",
            "address_2": "SUITE 400",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311150",
            "country_code": "US",
            "telephone_number": "816-276-7410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 N Riverside Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072508",
            "country_code": "US",
            "telephone_number": "816-271-4025",
            "fax_number": "816-271-4026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75820-112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012041039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TARA.JACKSON@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6675 Holmes Rd",
            "address_2": "SUITE 400",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641311150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Randolph Thomas Jackson, M.D.
• Robert Sean Jackson, M.D.
• Sara Jackson, LSCSW
• Seth Jackson, DPT
• Susan T Jackson, PHD, MSC
• Victoria Jackson, CNA
• James Seth Jacob, MD
• Megha Lilly Jacob
• Jacob'S Well Holistic Services, LLC
• Sarah Jacober, MD

• Family Nurse Practitioner in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.