Individual provider Active NPI

Jessica Pearl Zukley, PA-C

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1356903538
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2019024157 Issued in MO
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

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200109001297 MO Practitioner - Physician Assistant 5597190173 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019024157MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
P & C Consultant Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica.zukley.p32@direct.medcor.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.