Jackson Primary Care LLC
NPI 1619961380ActiveOrganization· Family Medicine· Jackson, MO
Family Medicine in Jackson, Missouri, registered in NPPES in September 2005. The authorized official on file is Deanna M. Siemer, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619961380 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2005 |
| Last updated in NPPES | Oct 26, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Clinic/Center, Rural Health | 261QR1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
Other Family Medicine providers in Jackson
- 1205966645
- 1205950961
- 1508048125
- 1740631514
- 1942277249
- 1457611261
- 1255782843
- 1740389980
- 1346487931
- 1851368153
- 1699423202
- 1821072976