NPIMap

Individual provider Active NPI

Paul W Jenkins, PA-C

  • Surgical Physician Assistant
  • Kansas City, MO
National Provider Identifier
1477556215
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
114597 Issued in MO
Practice address
4330 Wornall Rd Ste 50
Kansas City, MO 64111-3201
Phone
(816) 931-3312
Fax
(816) 531-9862
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 4138 SC
Surgical Physician Assistant 363AS0400X 50001399 OH
Surgical Physician Assistant 363AS0400X 114597 MO Primary

Addresses

Primary practice location

4330 Wornall Rd Ste 50
Kansas City, MO 64111-3201

Mailing address

PO Box 7411931
Chicago, IL 60674-1931
Phone (816) 931-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070108000252 MO Practitioner - Physician Assistant 4789684200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Surgeons of Kansas City IncGroup PAC ID 5193878072, 36 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 931-3312

110 NE Saint Lukes Blvd
Suite 245
Lees Summit, MO 64086-6000
Phone (816) 932-2585

4320 Wornall Rd
2000 Saint Lukes Clinic
Kansas City, MO 64111-5939
Phone (816) 932-8258

4401 Wornall Rd
Mid Heart Lung
Kansas City, MO 64111-3220
Phone (816) 931-3312

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
86.25
Promoting interoperability
100
Improvement activities
40
Cost
77.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
981118OHMDAddiction (Substance Use Disorder) Counselor
4138SCMDPharmacist
114597MOMDSurgical Physician Assistant
50001399OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri Past Accepting new patients
Midamerica Heart & Lung Surgeons, P.C. Past Accepting new patients
Saint Luke'S Physician Group Inc PastSince Jun 23, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pjenkins14481@direct.saint-lukes.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1477556215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411931",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606741931",
            "telephone_number": "816-931-3312",
            "fax_number": "816-531-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD STE 50",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113201",
            "telephone_number": "816-931-3312",
            "fax_number": "816-531-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4138",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50001399",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "114597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.