Individual provider Active NPI

Jessica Louise Hogan, MD

  • Vascular Surgery Physician
  • Kansas City, MO
National Provider Identifier
1679868913
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2018016917 Issued in MO
Practice address
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone
(816) 932-2000
NPI assigned
Jun 15, 2011
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 94-07720 KS
Vascular Surgery Physician 2086S0129X 59229 TN
Vascular Surgery Physician 2086S0129X 2018016917 MO Primary

Addresses

Primary practice location

4401 Wornall Rd
Kansas City, MO 64111-3220

Mailing address

24350 W 55TH St
Shawnee, KS 66226-2923
Phone (913) 749-9477

Other practice location 1

3901 Rainbow Blvd
Ms 2005
Kansas City, KS 66103-2937
Phone (913) 588-6124

Other practice location 2

2108 E 3rd St Ste 200
Chattanooga, TN 37404-2624
Phone (423) 267-0466

Other practice location 3

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN, MO, UT, NC5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190820002190 MI Practitioner - Thoracic Surgery 8123325453 Reassigns benefits to 1 organization
I20200302002686 TN Practitioner - Vascular Surgery 8123325453 Reassigns benefits to 1 organization
I20201216000468 MO Practitioner - Vascular Surgery 8123325453 Reassigns benefits to 1 organization
I20210322000599 UT Practitioner - Vascular Surgery 8123325453 Reassigns benefits to 1 organization
I20251202000089 NC Practitioner - Vascular Surgery 8123325453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

700 W Forest Ave
4TH Floor
Jackson, TN 38301-3937
Phone (731) 541-3310

709 N Justice St
Suite a
Hendersonville, NC 28791-3455
Phone (828) 697-7377

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
94-07720KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Nov 9, 2025 Accepting new patients
Ihc Health Services, Inc. CurrentSince Dec 11, 2020 Accepting new patients
Edward W. Sparrow Hospital Association Single Specialty CurrentSince Aug 1, 2019 Accepting new patients
West Tennessee Medical Group Inc Single Specialty Current Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Ihc Health Services Inc Single Specialty CurrentSince Dec 11, 2020 Accepting new patients
Henderson County Hospital Corporation Single Specialty CurrentSince Nov 9, 2025 Accepting new patients
Cameron Regional Medical Center Inc Single Specialty CurrentSince Jan 23, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Single Specialty Current Accepting new patients
Cameron Regional Medical Center, Inc. Single Specialty CurrentSince Jan 23, 2023 Accepting new patients
Ihc Health Services Inc Single Specialty Current Accepting new patients
Hendersonville Hematology and Oncology@Pardee Single Specialty Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

709 N Justice St
Ste A
Hendersonville, NC 28791
Phone (828) 694-7630

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

569 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

700 W Forest Ave
Fl 4
Jackson, TN 38301
Phone (731) 541-0240

270 E Court Ave
#B
Selmer, TN 38375
Phone 73164579322931

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Organizations & group practices 12

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 2

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1679868913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24350 W 55TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662262923",
            "telephone_number": "913-749-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113220",
            "telephone_number": "816-932-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Rainbow Blvd",
            "address_2": "MS 2005",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661032937",
            "country_code": "US",
            "telephone_number": "913-588-6124",
            "fax_number": "913-588-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 E 3rd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042624",
            "country_code": "US",
            "telephone_number": "423-267-0466",
            "fax_number": "423-778-5177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 E Evergreen St",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "MO",
            "postal_code": "644292400",
            "country_code": "US",
            "telephone_number": "816-632-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JESSICA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "94-07720",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "59229",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2018016917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.