MS. COURTNEY J JACK APRN-BC NPI 1336740620

NPI Details

MS. Courtney J Jack, APRN-BC is a family nurse practitioner in Lees Summit, MO with 6 years of experience. MS. Courtney J Jack, APRN-BC NPI is 1336740620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 SW LONGVIEW BLVD STE 280
LEES SUMMIT, MO
ZIP 64081-157
Phone: (816) 477-7200

The NPI 1336740620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
• Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
• Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
• Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
• Extended patient service without direct patient contact, first hour (HCPCS:99358)
• Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
• Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
• Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
• Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
• Nursing facility discharge day management, 30 minutes or less (HCPCS:99315)
• Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
• Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
• Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
• Extended patient service without direct patient contact, first hour (HCPCS:99358)
• Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
• Nursing facility annual assessment, typically 30 minutes (HCPCS:99318)

The enumeration date for this NPI number is 11/4/2020 and was last updated on 3/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: