Individual provider Active NPI

Cristina Louise Jacobs, NP

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1548646946
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-76877 Issued in KS
Practice address
10600 Mastin St
Overland Park, KS 66212-5723
Phone
(913) 469-6647
Fax
(913) 338-1311
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-76877 KS Primary

Addresses

Primary practice location

10600 Mastin St
Overland Park, KS 66212-5723

Mailing address

25896 Pleasant Valley Rd
Wellsville, KS 66092-8307
Phone (417) 529-5589

Other practice location 1

25896 Pleasant Valley Rd
Wellsville, KS 66092-8307
Phone (417) 529-5589

Other practice location 2

20920 W 151st St
Suite 100
Olathe, KS 66061-7247
Phone (913) 782-1148

Other practice location 3

6675 Holmes Rd Ste 129
Kansas City, MO 64131-1167
Phone (816) 276-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20150903000812 KS Practitioner - Nurse Practitioner 5698081727 Reassigns benefits to 1 organization
I20180212001561 MO Practitioner - Nurse Practitioner 5698081727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Practice addresses (Care Compare)

10600 Mastin St
Suite a
Overland Park, KS 66212-5723
Phone (913) 469-6447

701 E 101St Ter
Kansas City, MO 64131-4271
Phone (816) 523-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
78.92
Promoting interoperability
99
Improvement activities
40
Cost
71.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-76877KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Park Surgical Specialties LLC CurrentSince Aug 1, 2021 Accepting new patients
Midwest Trauma Services, LLC CurrentSince Jan 3, 2018 Accepting new patients
College Park Family Care Center PA Past Accepting new patients
Kansas City Vascular & General Surgery Group LLC Past Accepting new patients

Locations

17050 W 96th St
Lenexa, KS 66219
Phone (913) 359-1771

1803 S Ridgeview Rd
Olathe, KS 66062
Phone (913) 735-4726

801 N Mur Len Rd
Ste 211
Olathe, KS 66062
Phone (913) 451-2253

11164 S Noble Dr
Olathe, KS 66061
Phone (913) 469-6447

10600 Mastin St
#A
Overland Park, KS 66212

10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447

10600 Mastin St
Overland Park, KS 66212
Phone (913) 438-0868

11725 W 112th St
Overland Park, KS 66210
Phone (913) 469-5452

10600 Mastin St
Ste A
Overland Park, KS 66212
Phone (913) 274-2600

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

15101 Glenwood Ave
Stanley, KS 66223
Phone (913) 681-4934

2330 E Meyer Blvd
Ste 207
Kansas City, MO 64132

6675 Holmes Rd
Ste 420
Kansas City, MO 64131

701 E 101st Ter
Kansas City, MO 64131
Phone (816) 523-0100

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

6675 Holmes Rd
Ste 400
Kansas City, MO 64131
Phone (816) 303-2400

6675 Holmes Rd
Ste 129
Kansas City, MO 64131

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1548646946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25896 PLEASANT VALLEY RD",
            "city": "WELLSVILLE",
            "state": "KS",
            "postal_code": "660928307",
            "telephone_number": "417-529-5589",
            "fax_number": "949-864-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 MASTIN ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125723",
            "telephone_number": "913-469-6647",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25896 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Wellsville",
            "state": "KS",
            "postal_code": "660928307",
            "country_code": "US",
            "telephone_number": "417-529-5589",
            "fax_number": "949-864-3907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20920 W 151st St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617247",
            "country_code": "US",
            "telephone_number": "913-782-1148",
            "fax_number": "913-782-1097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6675 Holmes Rd Ste 129",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641311167",
            "country_code": "US",
            "telephone_number": "816-276-7410",
            "fax_number": "816-276-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "CRISTINA",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-76877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.