Courtney J Jack, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020029102 Issued in MO

Practice address

400 SW Longview Blvd Ste 280
Lees Summit, MO 64081-2157

Phone

(816) 477-7200

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

No

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.

• CH Specialty Services Mo LLC

  • Internal Medicine Physician
  • Lees Summit, MO
  • NPI 1194422253

  MO

  Medicare reassignment Care Compare group NPD
• Curana Health of Missouri-Kansas LLC

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1306165337

  KS, MO

  Medicare reassignment Care Compare group NPD
• CH Specialty Services Ia PC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1942909353

  IA

  Medicare reassignment Care Compare group NPD
• CH Specialty Services Il PLLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922707702

  IL

  Medicare reassignment Care Compare group NPD
• CH Specialty Services KS LLC

  • Internal Medicine Physician
  • Lenexa, KS
  • NPI 1770282188

  KS

  Medicare reassignment Care Compare group NPD
• Curana Health of Illinois PC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1891400156

  IL

  Medicare reassignment Care Compare group NPD
• Curana Health of Iowa PLLC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1730773714

  IA, NE

  Medicare reassignment Care Compare group NPD
• Curana Health of Wisconsin Inc

  • Internal Medicine Physician
  • Hartford, WI
  • NPI 1699407890

  WI

  Medicare reassignment Care Compare group NPD
• Preferred Physician Services of Ohio LLC

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1538899638

  OH

  Medicare reassignment Care Compare group NPD
• CH Specialty Services MN PC

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1841999158

  MN

  Medicare reassignment NPD
• Curana Health of Minnesota PLLC

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1083365084

  MN, Nurse Practitioner

  Medicare reassignment NPD
• Curana Health of Ohio

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1760114961

  OH

  Medicare reassignment NPD

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Curana Health of Missouri-Kansas LLC 143 clinicians

CH Specialty Services Il PLLC 20 clinicians

Curana Health of Iowa PLLC 152 clinicians

Curana Health of Wisconsin Inc 48 clinicians

Preferred Physician Services of Ohio LLC 66 clinicians

CH Specialty Services Mo LLC 108 clinicians

CH Specialty Services Ia PC 130 clinicians

Curana Health of Illinois PC 35 clinicians

CH Specialty Services KS LLC 65 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in KS, MO, IN, IA, WI, OH, MN, IL, NE9 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 9

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

• Courtney J Perkins Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2025.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1336740620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 SW 30TH ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153381",
            "telephone_number": "816-718-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW LONGVIEW BLVD STE 280",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812157",
            "telephone_number": "816-477-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "COURTNEY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.031610",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020029102",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "79693",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A181796",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0038214",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "16215-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016015A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12487",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "PERKINS",
            "middle_name": "J",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael George Ivancic, MD
• Ivna Pharmacy Services LLC
• Anusha Gopalakrishnan Iyer, M.B.B.S
• J and E Dental LLC
• J O Johnson DO PC
• Jackson County Eye Clinic Inc.
• Julie Jackson, PHARMD
• Melanie L Jackson, MOTR/L, CHT
• Tammy J Jackson, LICENSED PSYCHOLOGIS
• Tiffany Jackson, LPC

• All providers in Lees Summit, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.