Individual provider Active NPI

Jason Edward Kearns, PA-C

  • Physician Assistant
  • Lee's Summit, MO
National Provider Identifier
1346554920
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2024027996 Issued in MO
Practice address
760 NW Blue Pkwy
Lees Summit, MO 64086-5713
Phone
(913) 297-7472
NPI assigned
Aug 5, 2010
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2024027996 MO Primary
Physician Assistant 363A00000X 15-01411 KS
Physician Assistant 363A00000X 4521 OK

Addresses

Primary practice location

760 NW Blue Pkwy
Lees Summit, MO 64086-5713

Mailing address

1202 Sheridan Dr
Joplin, MO 64801-1070
Phone (620) 778-0953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 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

Enrollment IDStateProvider typePAC IDDetails
I20100929000421 KS Practitioner - Physician Assistant 0446376271 Reassigns benefits to 1 organization
I20210217002197 OK Practitioner - Physician Assistant 0446376271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
48.28 of 100Reported as group
Quality
21.69
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2024027996MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center CurrentSince Sep 18, 2013 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 9, 2021 Accepting new patients
Labette County Medical Center Current Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Feb 9, 2021 Accepting new patients
Labette County Medical Center Current Accepting new patients
Labette County Medical Center CurrentSince Sep 18, 2013 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients
Williams Medical Group Practice, LLC PastSince Oct 21, 2025 Accepting new patients

Locations

324 S Main St
Erie, KS 66733
Phone (620) 244-3291

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

1902 S US Highway 59
Bldg D
Parsons, KS 67357
Phone (620) 421-0830

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2518 N Main St
Miami, OK 74354
Phone (918) 540-9077

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

949 E Taft Ave
Sapulpa, OK 74066
Phone (918) 224-6079

Interoperability endpoints

  • Direct secure messaging: jason.kearns.1@16552.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1346554920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 SHERIDAN DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011070",
            "telephone_number": "620-778-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NW BLUE PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865713",
            "telephone_number": "913-297-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2024027996",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01411",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.