JACKIE D KUMM (F.N.P.) – Family Nurse Practitioner, NPI 1194959510
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
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Provider Addresses for JACKIE D KUMM (F.N.P.)
2820 E ROCK HAVEN ROAD STE 210
HARRISONVILLE, MO 64701
Phone: (816) 380-7470
Fax: (816) 380-3291
Type: Mailing
East Rock Haven Road, Harrisonville, Cass County, Missouri, 64701, United States
HARRISONVILLE, MO 647014414
Phone: (816) 380-7470
Fax: (816) 380-3291
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $536.
Total Amount is formed as General ($536) + Research ($0) + Ownership ($0) = $536.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($203).
Total Amount
$536
General + Research + Ownership
Payments
24
Total payment records
General Amount
$536
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $203 |
| Lilly USA, LLC | $158 |
| Novo Nordisk Inc | $66 |
| AstraZeneca Pharmaceuticals LP | $51 |
| GlaxoSmithKline, LLC. | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090721000398 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 157 | 86 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 113 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 56 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 21 | 21 | $0 |
| G0008 | Administration of influenza virus vaccine | 21 | 21 | $0 |
Insurance plans in this area (ZIP 64701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO |
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