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Jackson Primary Care LLC

Family Medicine Physician in Jackson, MO · enumerated 2005 · authorized official Deanna Siemer, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619961380

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Primary Care LLC
Practice address 2685 E Main St Suite A, Ste A, Jackson, MO, 63755
Fax (573) 204-1480
Enumeration date Sep 8, 2005
Last updated in NPPES Oct 26, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Deanna Siemer
Title Owner

Other identifiers

Identifier Type State Issuer
132588 Other MO BCBS
509303004 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Jackson Primary Care LLC located?
The practice location on file with NPPES is in Jackson, MO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-10-26. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-26.