Active NPI
Jessica Pearl Zukley, PA-C
- Physician Assistant
- Kansas City, MO
National Provider Identifier
1356903538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2019024157
- Practice address
- 2316 E Meyer Blvd
Kansas City, MO 64132-1199 - Phone
- (816) 276-4000
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2019024157 | MO | Primary |
Addresses
Primary practice location
2316 E Meyer Blvd
Kansas City, MO 64132-1199
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
1501 Inverness Dr
Lawrence, KS 66047-1870
Phone (785) 838-8000
Other practice location 2
750 Blake St
Edwardsville, KS 66111-1339
Phone (913) 422-5832
Other practice location 3
749 Blake St
Edwardsville, KS 66111-1338
Phone (913) 422-5952
Other names 1
- Jessica Pearl Maney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019024157 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P & C Consultant Services | Past | Accepting new patients |
Interoperability endpoints
- jessica.zukley.p32@direct.medcor.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/DHAEDD
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Kansas City, MO
- NPI 1437990082
-
- Hospitalist Physician
- Independence, MO
- NPI 1841997905
-
- Pulmonary Disease Physician
- Independence, MO
- NPI 1073204673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1356903538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 E MEYER BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321199",
"telephone_number": "816-276-4000"
}
],
"practiceLocations": [
{
"address_1": "1501 Inverness Dr",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660471870",
"country_code": "US",
"telephone_number": "785-838-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Blake St",
"address_purpose": "LOCATION",
"city": "Edwardsville",
"state": "KS",
"postal_code": "661111339",
"country_code": "US",
"telephone_number": "913-422-5832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "749 Blake St",
"address_purpose": "LOCATION",
"city": "Edwardsville",
"state": "KS",
"postal_code": "661111338",
"country_code": "US",
"telephone_number": "913-422-5952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUKLEY",
"first_name": "JESSICA",
"middle_name": "PEARL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2019024157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MANEY",
"middle_name": "PEARL",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.