Jacqueline D Tebeest, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2014032509 Issued in MO

Practice address

100 NW Mock Ave Ste 200
Blue Springs, MO 64014-2500

Phone

(816) 228-1000

Fax

(816) 463-6035

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jacqueline Nelson Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prime Healthcare Kansas City - Physician Services LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1427449487
  Medicare reassignment

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1831591684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW MOCK AVE STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142500",
            "telephone_number": "816-228-1000",
            "fax_number": "816-463-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW MOCK AVE STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142500",
            "telephone_number": "816-228-1000",
            "fax_number": "816-463-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 NW R D Mize Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142515",
            "country_code": "US",
            "telephone_number": "816-228-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEBEEST",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014032509",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2014032509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeff Masayoshi Tadokoro, LCSW
• Mohsen Tahani, MD
• Robert Tahani, DMD
• Tara Yardley LPC LLC
• Sarah Elizabeth Taylor, PT
• Tiffany Marie Teegarden, DDS
• Kyle Temple, RPH
• Sandra Tharp
• Christina Fontaine Thomas, APRN
• Clinton Earl Thomas, L.P.C.

• Family Nurse Practitioner in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.