Jessica Peterson, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS14979 Issued in FL

Practice address

211 NE 54TH St Ste 201
Kansas City, MO 64118-4330

Phone

(816) 453-6777

Fax

(816) 454-3601

NPI assigned

Jun 4, 2014

Last updated

May 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jessica Wilbur Former name

Medicare fee-for-service enrollment

Enrolled in FL, HI, MO, NY, DC, PA, OR, WA, AZ, KY10 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 10

Specialty

PsychiatryAlso: Neurology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians

TS Telepsychiatry PLLCGroup PAC ID 0941698070, 21 clinicians

Stem Medical Group PCGroup PAC ID 1759754187, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
• Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
• Trios Health Hospital, Kennewick, WA, CCN 500053
• Logan Regional Medical Center Hospital, Logan, WV, CCN 510048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• HealthSun Health Plans Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/beyondhc/r4/
• Direct secure messaging: jepeters@yourcarecommunity.org
• Direct secure messaging: jessica.peterson.1@33651.direct.athenahealth.com
• Direct secure messaging: jpeterson1595545@direct.lhs.org
• Direct secure messaging: jpeterson21169@hhsc.direct-ci.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.

• Missouri Delta Medical Center

  • Internal Medicine Physician
  • Sikeston, MO
  • NPI 1508967860

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Hilo Benioff Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1962584060
  Medicare reassignment Care Compare group NPD
• Stem Medical Group, PC

  • Neurology Physician
  • Denver, CO
  • NPI 1508592361

  FL

  Medicare reassignment Care Compare group NPD
• TS Telepsychiatry PLLC

  • Psychiatry Physician
  • Fort Myers, FL
  • NPI 1134790058
  Medicare reassignment Care Compare group NPD
• Meritas Health Corporation

  dba NKC Health

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1801875091
  Medicare reassignment NPD
• Connections Healthva, LLC

  • Psychiatric Residential Treatment Facility
  • Chantilly, VA
  • NPI 1306524285

  DC

  Medicare reassignment NPD
• Connections Southernaz, LLC

  dba CRC-Outpatient Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1982362943
  Medicare reassignment NPD
• Connectionsaz, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1083840953
  Medicare reassignment NPD
• Connectionspa LLC

  • Adult Mental Health Clinic/Center
  • Harrisburg, PA
  • NPI 1952141889
  Medicare reassignment NPD
• Connectionswa, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kirkland, WA
  • NPI 1114607140
  Medicare reassignment NPD
• Good Shepherd Health Care System

  dba Good Shepherd Medical Center

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Medicare reassignment NPD
• Holon Health Great Lakes, P.C.

  dba Holon Health

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1194414805

  KY

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Missouri Delta Medical Center

  • General Acute Care Hospital
  • Sikeston, MO
  • NPI 1831269539
  Care Compare affiliation
• Hilo Benioff Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1780757856
  Care Compare affiliation
• Logan General Hospital LLC

  dba Logan Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Logan, WV
  • NPI 1295789675
  Care Compare affiliation
• Logan General Hospital LLC

  dba Logan Regional Medical Center

  • General Acute Care Hospital
  • Logan, WV
  • NPI 1750332565
  Care Compare affiliation
• RCCH Trios Health LLC

  • General Acute Care Hospital
  • Kennewick, WA
  • NPI 1578058137
  Care Compare affiliation

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1871906107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 RETRIEVER DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115488",
            "telephone_number": "954-257-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NE 54TH ST STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184330",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2022031193",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "DOS-1955",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS14979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH MQA",
            "identifier": "OS14979",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WILBUR",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol B. Peterson, LCSW
• Carrie Ann Peterson
• Dakota James Peterson, MT
• Hannah Peterson
• Jane A Peterson, APRN
• Joshua Peterson, RN, BSN
• Kristin Brooke Peterson, PHARMD
• Louis Hayward Peterson, MD
• Nicole Kathleen Peterson, PTA
• Olivia Audrey Peterson

• Psychiatry Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.
• 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.

Verify at the official NPI Registry.