DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP) – Clinical Psychologist, NPI 1831170034

DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP) is a healthcare provider. based in Nevada, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D., M.B.A., ABPP. They hold a License No. 000245 (MO). The NPI Number for DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP) is 1831170034

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP)
NPI
1831170034
Phone
(417) 667-8352
Address
815 S Ash St
Enumeration Date
7 November 2005
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133277505
Graduation Year
1987 (39 years ago)
PAC ID
1456519750
Group Practice PAC ID
6507881422
Professional Enrollment ID
I20240301002729
Address ID
KS662132852OV12541STXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness75
Years active:20State licenses:4Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

Provider Addresses for DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP)

  • 815 S Ash St

    Nevada, MO 647723222

    Phone: (417) 667-8352

    Type: Location

  • 815, South Ash Street, Nevada, Vernon County, Missouri, 64772, United States

    NEVADA, MO 647723222

    Phone: (417) 667-8352

    Fax: (417) 667-9216

    Type: Mailing

  • 12541 FOSTER ST STE 200

    OVERLAND PARK, KS 662132307

    Phone: (913) 735-0955

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120215000768IClinical PsychologistMOTBD
I20240301002729IClinical PsychologistKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64772)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507881422View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Mental Health CounselorKS
Nurse PractitionerKS
Mental Health CounselorMO
Clinical Social WorkerKS
Mental Health CounselorAZ
Clinical Social WorkerKS
Nurse PractitionerKS
Nurse PractitionerMO
Clinical Social WorkerKS

Reviews

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Frequently asked questions

What federal number belongs to DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP)?
The federal identifier for DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP) is NPI 1831170034.
Is DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP)'s NPI currently valid?
The extract we use shows DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP) as active.
Can you summarize DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP)'s specialty in plain language?
Clinically, the directory lists DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP) practice in Missouri?
You will see Nevada, Missouri on file for DR. JERRY A JR. MORRIS (PSY.D., M.B.A., ABPP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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