Individual provider Active NPI

Robert Wayne Jackson, D.O.

  • Rheumatology Physician
  • Memphis, MO
National Provider Identifier
1730293705
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
R6C73 Issued in MO
Practice address
Sigler Ave
Memphis, MO 63555
Phone
(660) 465-2828
Fax
(660) 465-2820
NPI assigned
Aug 18, 2006
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
241853779MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjackson84438@blessing.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040216000667 MO Practitioner - RheumatologyPractitioner - Internal Medicine 3476448952 Reassigns benefits to 12 organizations
I20070312000392 IA Practitioner - RheumatologyPractitioner - Internal Medicine 3476448952 Reassigns benefits to 5 organizations

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
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Pike County Memorial HospitalGroup PAC ID 8123015518, shared by 6 NPIs, 31 clinicians
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians
General John J Pershing Memorial Hospital AssociationGroup PAC ID 2860306750, shared by 5 NPIs, 20 clinicians
Van Buren County HospitalGroup PAC ID 7214829530, 33 clinicians
Scotland County Memorial HospitalGroup PAC ID 8224940366, shared by 6 NPIs, 32 clinicians

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

LicenseStateTypeSpecialty
3651TNMDClinical Psychologist
R6C73MOMDRheumatology Physician
R6373MOMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Jul 1, 2022 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Blessing Hospital CurrentSince Jul 1, 2022 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 CurrentSince Feb 1, 2019 Accepting new patients
Pike County Memorial Hospital CurrentSince Jun 1, 2021 Accepting new patients
Jefferson County Hospital Current Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
General John J Pershing Memorial Hospital Association Current Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Pike County Memorial Hospital CurrentSince Jun 1, 2021 Accepting new patients
Knoxville Community Hospital Inc CurrentSince May 1, 2022 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Jefferson County Hospital CurrentSince Jun 29, 2013 Accepting new patients
Jefferson County Hospital CurrentSince Jun 29, 2013 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Feb 1, 2019 Accepting new patients
Pike County Memorial Hospital CurrentSince Jun 1, 2021 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 PastSince Aug 28, 2018 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

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
  • Direct secure messaging: 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.

View all 29

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.