Active NPI
Robert Wayne Jackson, D.O.
- Rheumatology Physician
- Memphis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- R6C73
- Practice address
- Sigler Ave
Memphis, MO 63555 - Phone
- (660) 465-2828
- Fax
- (660) 465-2820
- NPI assigned
- Aug 18, 2006
- Last updated
- Sep 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | R6C73 | MO | Primary |
Addresses
Primary practice location
Sigler Ave
Memphis, MO 63555
Mailing address
450 E Sigler Ave
Memphis, MO 63555-1726
Phone (660) 465-2828
Other practice location 1
100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 214-3823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241853779 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rjackson84438@blessing.medalliesdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pike County Memorial HospitalGeneral John J Pershing Memorial Hospital AssociationScotland County Memorial Hospital
Practice addresses (Care Compare)
100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400
1015 W Adams St
Bowling Green, MO 63334-1974
Phone (573) 324-5300
1108 E Patterson St
Suite 10
Kirksville, MO 63501-4043
Phone (660) 956-0716
1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700
130 E Lockling St
Brookfield, MO 64628-2337
210 N Market St
Milan, MO 63556-1316
Phone (660) 265-4456
304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171
450 E Sigler Ave
Memphis, MO 63555-1726
Phone (660) 465-2828
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3651 | TN | MD | Clinical Psychologist |
| R6C73 | MO | MD | Rheumatology Physician |
| R6373 | MO | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Sullivan County Memorial Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Pike County Memorial Hospital | Current | Accepting new patients | |
| Pike County Memorial Hospital | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Pike County Memorial Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Van Buren County Hospital | Current | Accepting new patients | |
| Pike County Memorial Hospital | Current | Accepting new patients | |
| Knoxville Community Hospital Inc | Current | Accepting new patients | |
| Knoxville Community Hospital Inc | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Pike County Memorial Hospital | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Rheumatology | Past | Accepting new patients |
| Audrain Health Care, Inc | Past | Accepting new patients | |
| SSM Audrain Health Care, Inc | Past | Accepting new patients | |
| Scotland County Memorial Hosptial | Past | Accepting new patients | |
| Saint Luke's Hospital of Trenton | Past | Accepting new patients | |
| Infusion Express of Kansas LLC | Past | Accepting new patients |
Locations
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171
1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464
1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144
1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100
1015 W Adams St
Bowling Green, MO 63334
Phone (573) 324-5300
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
100 Medical Dr
Hannibal, MO 63401
101 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584
101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213
450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828
450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828
630 W 3rd St
Milan, MO 63556
Phone (660) 265-1077
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
- rjackson87820@uihcdirect.org
Organizations & group practices 29
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.
-
- Critical Access Hospital
- Milan, MO
- NPI 1114067832
-
- Critical Access Hospital
- Keosauqua, IA
- NPI 1508810714
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
-
dba Pershing Memorial Hospital
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
-
dba Communtiy Medical Associates
- Rural Health Clinic/Center
- Brookfield, MO
- NPI 1487616256
-
dba Pershing Memorial Hospital
- Primary Care Clinic/Center
- Brookfield, MO
- NPI 1982612461
-
dba PCMH Clinic
- Rural Health Clinic/Center
- Bowling Green, MO
- NPI 1124030424
-
- Critical Access Hospital
- Louisiana, MO
- NPI 1205837218
-
dba Jefferson County Health Center
- Critical Access Hospital
- Fairfield, IA
- NPI 1376648329
-
dba JCHC Richland Clinic
- Rural Health Clinic/Center
- Richland, IA
- NPI 1881294536
-
dba Knoxville Hospital & Clinics
- Emergency Medicine Physician
- Knoxville, IA
- NPI 1770591661
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pershing Memorial Hospital
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
-
dba Scotland County Hospital
- Critical Access Hospital
- Memphis, MO
- NPI 1083624647
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
dba Jefferson County Health Center
- Critical Access Hospital
- Fairfield, IA
- NPI 1376648329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1730293705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E SIGLER AVE",
"city": "MEMPHIS",
"state": "MO",
"postal_code": "635551726",
"telephone_number": "660-465-2828",
"fax_number": "660-465-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SIGLER AVE",
"city": "MEMPHIS",
"state": "MO",
"postal_code": "63555",
"telephone_number": "660-465-2828",
"fax_number": "660-465-2820"
}
],
"practiceLocations": [
{
"address_1": "100 Medical Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016877",
"country_code": "US",
"telephone_number": "217-214-3823",
"fax_number": "217-277-5596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MO",
"license": "R6C73",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241853779",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rjackson84438@blessing.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Medical Dr",
"city": "Hannibal",
"state": "MO",
"country_code": "US",
"postal_code": "634016877",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.