Jay R Pemberton, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

36771 Issued in MO

Practice address

201 W R D Mize Rd
Blue Springs, MO 64014-2518

Phone

(816) 228-5900

NPI assigned

Aug 16, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jay.pemberton@hca2.eclinicaldirectplus.com

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.

• Electric City Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Butler, MO
  • NPI 1659604254
  Medicare reassignment NPD
• Emergency Medicine Services of Mo, LLC

  • Emergency Medicine Physician
  • Independence, MO
  • NPI 1023715182
  Medicare reassignment NPD
• Midwest Division - LRHC LLC

  dba Lafayette Regional Health Center

  • Critical Access Hospital
  • Lexington, MO
  • NPI 1639362460
  Medicare reassignment NPD
• Little Blue Emergency Physicians LLC

  • Emergency Medicine Physician
  • Independence, MO
  • NPI 1609154061
  NPD (past)
• Medical Emergency Associates L.L.C.

  • Emergency Medicine Physician
  • Blue Springs, MO
  • NPI 1346241593
  NPD (past)
• Missouri Em-I Medical Services, P.C.

  • Emergency Medicine Physician
  • Independence, MO
  • NPI 1245518604
  NPD (past)
• Medical Associated Physicians of Kansas LLC

  • Emergency Medicine Physician
  • Leawood, KS
  • NPI 1891769246
  NPD (past)
• Pittsburg Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Pittsburg, KS
  • NPI 1043493240
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700878907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414965",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641414965",
            "telephone_number": "913-234-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W R D MIZE RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142518",
            "telephone_number": "816-228-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "JAY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "36771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MO",
            "identifier": "12605135",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Lee Paulsgrove, MD
• Lauryn Paulus, PLPC
• Don Payne
• Peace of Mind
• Peaceful Minds Ihc, LLC
• Victoria Peot, PTA
• Performance Institute
• Adeel Pervez, MD
• Brooke Elizabeth Peterson
• John E. Peterson, D.O.

• Emergency Medicine Physician in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.