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Jessie Lee Kibbe , PA-C

Physician Assistant โ€ข Jackson, MO

Active NPI 1457073876 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2432 E Main St
Jackson, MO 637552664

Call 5737552305 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2432 E Main St

Jackson, MO 637552664

Telephone 5737552305
Fax 8008005123
Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Southeast Missouri Hospital Physicians Llc; St Vincent Medical Education And Research Institute Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Lincoln Memorial University Medical Department

Graduation Year

2022

Medicare patients

181 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $15,049 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,653 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

390 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$19,367 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $15.36 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jessie Kibbe has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jessie Kibbe as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: 229. Middle half: 96 to 567.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $16,486. Middle half: $7,632 to $33,529.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $12,171. Middle half: $5,565 to $25,556.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: 219. Middle half: 73 to 682.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: $2,647. Middle half: $562 to $57,833.

Too few clinicians listed under Physician Assistant in Jackson have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Physician Assistant with a practice address in Jackson, MO (1,791 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $15.36.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Solyx SIS System General $15.36

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg
274 26 $0.22 $0.11
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
114 104 $115.65 $70.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
61 57 $179.73 $97.39
96372 Injection of drug or substance under skin or into muscle
30 27 $35.00 $11.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
17 17 $97.45 $42.72
81002 Urinalysis, manual test
12 11 $6.81 $3.41

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 64 323 $158.76 60
Progesterone Progesterone, Micronized 47 2,172 $1,282.49 11
Amoxicillin Amoxicillin 26 188 $77.76 26
Cefdinir Cefdinir 25 169 $343.36 23
Fluticasone Propionate Fluticasone Propionate 24 750 $241.39 24
Valacyclovir Valacyclovir Hcl 17 944 $601.71 โ€”
Ondansetron Hcl Ondansetron Hcl 14 151 $49.36 11
Cephalexin Cephalexin 13 83 $96.92 13
Doxycycline Hyclate Doxycycline Hyclate 13 95 $207.89 13
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 13 84 $189.72 13
Tolterodine Tartrate Er Tolterodine Tartrate 13 390 $349.68 โ€”
Omeprazole Omeprazole 12 360 $20.74 โ€”
Topiramate Topiramate 11 330 $5.63 โ€”
Fluconazole Fluconazole 11 24 $37.01 โ€”
Amlodipine Besylate Amlodipine Besylate 11 330 $5.36 โ€”
Escitalopram Oxalate Escitalopram Oxalate 11 330 $23.63 โ€”
Elmiron Pentosan Polysulfate Sodium 11 330 $10,709.60 โ€”
Myrbetriq Mirabegron 11 330 $4,965.96 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260323000237

Enrollment State Jurisdiction

PA

PECOS Control ID

2163890344

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Southeast Missouri Hospital Physicians Llc

1701 Lacey St, Cape Girardeau, MO 637015230

Phone: 5733344822

St Vincent Medical Education And Research Institute Inc

4247 W Ridge Rd, Erie, PA 165061746

Phone: 8148352580

Southeast Missouri Hospital Physicians Llc

2432 E Main St, Jackson, MO 637552664

Phone: 5737552305

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Jason Blandford , FNP-BC

Nurse Practitioner - Family

NPI 1952056004

Family Nurse Practitioner (Board Certified)

April Kibble , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1568716942

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Crista Merriman , APRN

Nurse Practitioner - Family

NPI 1548836190

Advanced Practice Registered Nurse

Nicole Ruopp

Physician Assistant

NPI 1750910873
Minyo Ticer , FNP-BC

Nurse Practitioner - Family

NPI 1396177598

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Practice Location April 30, 2024

Registered at 2432 E MAIN ST, JACKSON, MO 637552664 (Tel: 5737552305)

๐Ÿ“
Updated Business Mailing Address April 30, 2024

Registered at 2432 E MAIN ST, JACKSON, MO 637552664 (Tel: 5737552305)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

Physician Assistant

๐Ÿ“
Updated Practice Location October 04, 2023

Registered at 159 OMNI DR STE 1, MCMINNVILLE, TN 371100303 (Tel: 9318158800)

๐Ÿ“
Updated Business Mailing Address October 04, 2023

Registered at 3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 370723132 (Tel: 6152392018)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2023

Physician Assistant (license number reported to NPPES: TN 5265)

โœ…
NPI Profile Active September 13, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 13, 2022

Registered at 3085 SPARTA ST, MCMINNVILLE, TN 371101364 (Tel: 2513131455)

๐Ÿ“
Business Mailing Address (Initial Record) September 13, 2022

Registered at 173 INTEGRA VISTAS DR APT 310, HIXSON, TN 373435390 (Tel: 7165812289)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 13, 2022

Recorded as JESSIE KIBBE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2022

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration September 13, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457073876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2022
Last Update: April 30, 2024
Sole Proprietor: Yes

Other Physician Assistants in Jackson

Mailing Address

2432 E Main St

Jackson, MO 637552664

Phone: 5737552305

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.