Individual provider Active NPI

Jacquelyn Adele Bailey, MD, MPH

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1699238204
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020035612 Issued in MO
Practice address
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone
(816) 599-5500
NPI assigned
Apr 10, 2019
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020035612 MO Primary

Addresses

Primary practice location

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807

Mailing address

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807

Other practice location 1

825 Euclid Ave
Kansas City, MO 64124-2323
Phone (816) 474-4920

Other practice location 2

2121 Summit St
Kansas City, MO 64108-2126
Phone (816) 471-0900

Other practice location 3

5330 N Oak Trfy Ste 203
Kansas City, MO 64118-4600
Phone (816) 499-8100

Other practice location 4

6406 E 87th St
Kansas City, MO 64138-2800
Phone (816) 321-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220930000580 MO Practitioner - Family Practice 3476888223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11642 W Florissant Ave
Florissant, MO 63033-6723
Phone (314) 838-8220

5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone (314) 367-7848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020035612MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Jean Kerr People's Health Centers CurrentSince Aug 25, 2025 Accepting new patients
Swope Health Services CurrentSince Nov 27, 2023 Accepting new patients
Samuel U. Rodgers Health Center, Inc CurrentSince Sep 12, 2022 Accepting new patients
Samuel U. Rodgers Health Center, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Betty Jean Kerr People's Health Centers CurrentSince Aug 25, 2025 Accepting new patients
Swope Health Services CurrentSince Nov 27, 2023 Accepting new patients

Locations

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

2121 Summit St
Kansas City, MO 64108
Phone (816) 471-0900

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

5330 N Oak Trfy
Ste 203
Kansas City, MO 64118
Phone (816) 421-3115

6406 E 87th St
Kansas City, MO 64138
Phone (816) 321-3200

825 Euclid Ave
Kansas City, MO 64124
Phone (816) 889-4816

5701 Delmar Blvd
Saint Louis, MO 63112
Phone 31436778481248

Interoperability endpoints

  • Direct secure messaging: jacquelyn.bailey.p1@direct.phcenters.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1699238204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-599-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641242323",
            "country_code": "US",
            "telephone_number": "816-474-4920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Summit St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082126",
            "country_code": "US",
            "telephone_number": "816-471-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 N Oak Trfy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184600",
            "country_code": "US",
            "telephone_number": "816-499-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6406 E 87th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641382800",
            "country_code": "US",
            "telephone_number": "816-321-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JACQUELYN",
        "middle_name": "ADELE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020035612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.