Individual provider Active NPI

Jeffrey Nowlin, PA C

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1659953792
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2025044489 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 650
Kansas City, MO 64116-3279
Phone
(816) 459-7500
Fax
(816) 207-3768
NPI assigned
Apr 27, 2021
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2025044489 MO Primary
Physician Assistant 363A00000X 15-03249 KS
Physician Assistant 363A00000X PA2695 ID
Physician Assistant 363A00000X PA218626 OR

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 650
Kansas City, MO 64116-3279

Mailing address

2790 Clay Edwards Dr Ste 650
Kansas City, MO 64116-3279
Phone (816) 459-7500

Other practice location 1

12200 W 106th St Ste 400
Overland Park, KS 66215-2305
Phone (816) 459-7500

Other practice location 2

8250 N Church Rd
Kansas City, MO 64158-1103
Phone (816) 459-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID, MO, KS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240129001608 OR Practitioner - Physician Assistant 3274986070 Reassigns benefits to 1 organization
I20241002004129 ID Practitioner - Physician Assistant 3274986070 Reassigns benefits to 1 organization
I20260319001116 MO Practitioner - Physician Assistant 3274986070 Reassigns benefits to 1 organization
I20260330003561 KS Practitioner - Physician Assistant 3274986070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons PAGroup PAC ID 8527034123, 28 clinicians
Valley Family Health Care IncGroup PAC ID 0547169591, shared by 8 NPIs, 45 clinicians

Practice addresses (Care Compare)

12200 W 106TH St
Suite 400
Overland Park, KS 66215-2305
Phone (816) 459-7500

1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376

17 S 3Rd St
Nyssa, OR 97913-3815
Phone (541) 372-5738

2327 SW 4TH Ave
Ontario, OR 97914-1851
Phone (541) 889-2340

2790 Clay Edwards Dr
Suite 650
N Kansas City, MO 64116-3279
Phone (816) 459-7500

896 Fortner St
Ontario, OR 97914-1787
Phone (541) 881-2828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2695IDMDPhysician Assistant
15-03249KSMDPhysician Assistant
2025044489MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Family Health Care Inc CurrentSince Feb 1, 2024 Accepting new patients
Orthopedic Surgeons, P.a. CurrentSince Feb 16, 2026 Accepting new patients
Orthopedic Surgeons, P.a. CurrentSince Feb 16, 2026 Accepting new patients
Valley Family Health Care, Inc CurrentSince Feb 1, 2024 Accepting new patients
Valley Family Health Care, Inc Past Accepting new patients
Valley Family Health Care, Inc Past Accepting new patients
Valley Family Health Care, Inc Past Accepting new patients

Locations

207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065

1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376

12200 W 106th St
Ste 400
Overland Park, KS 66215
Phone (816) 459-7500

8250 N Church Rd
Kansas City, MO 64158
Phone (816) 459-7500

2790 Clay Edwards Dr
Ste 650
North Kansas City, MO 64116
Phone (816) 459-7500

17 N 6th St
Nyssa, OR 97913
Phone (541) 372-2606

17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738

2327 SW 4th Ave
Ontario, OR 97914
Phone (541) 889-0052

840 SW 4th Ave
Ste 105
Ontario, OR 97914
Phone (541) 881-2500

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

Interoperability endpoints

  • Direct secure messaging: jnowlin686966@direct.ochin.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1659953792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 650",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163279",
            "telephone_number": "816-459-7500",
            "fax_number": "816-207-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 650",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163279",
            "telephone_number": "816-459-7500",
            "fax_number": "816-207-3768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 W 106th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152305",
            "country_code": "US",
            "telephone_number": "816-459-7500",
            "fax_number": "816-207-3768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8250 N Church Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641581103",
            "country_code": "US",
            "telephone_number": "816-459-7500",
            "fax_number": "816-207-3768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "JEFFREY",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025044489",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03249",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA2695",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA218626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.