Jackson Primary Care LLC

Jackson Primary Care LLC is a healthcare organization registered as Family Medicine Physician in Jackson, MO, holding Type 2 (organization) NPI 1619961380 since 2005. The authorized official on file is Deanna Siemer, Owner.

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NPI	1619961380
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
Phone	5732041400
Fax	5732041480
Enumeration date	2005-09-08
Last updated in NPPES	2010-10-26

Authorized official

Name	Deanna Siemer
Title	Owner
Phone	5732041400

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207V00000X	Obstetrics & Gynecology Physician	Secondary	—	—
261QR1300X	Rural Health Clinic/Center	Secondary	—	—
207Q00000X	Family Medicine Physician	Primary	—	—

Other identifiers

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

Copy-ready billing details

Provider: Jackson Primary Care LLC
NPI: 1619961380
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 2685 E MAIN ST SUITE A, STE A, Jackson, MO, 63755

Verify this record

Cross-check NPI 1619961380 against the authoritative CMS record: view Jackson Primary Care LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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 2026-07-10. Provider record last updated 2010-10-26.