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Active NPI 1457073876 Individual Practitioner Female Practitioner

Jessie Lee Kibbe , PA-C

Physician Assistant • Jackson, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jessie Kibbe, PA-C is a certified Physician Assistant practicing in Jackson, MO. With approximately 4 years of clinical experience since graduating from Lincoln Memorial University Medical Department in 2022, Jessie Kibbe delivers high-quality medical care to the local community at 2432 E MAIN ST.

Jessie Kibbe maintains professional affiliations with St Vincent Medical Education And Research Institute Inc, Southeast Missouri Hospital Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2432 E Main St

Jackson, MO 637552664

Telephone 5737552305
Fax 8008005123

Medicare Profile & Education

Medical School

Lincoln Memorial University Medical Department

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jackson, MO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -9.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Jackson, MO (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kibbe (4 Years) 4 Yrs
Jackson Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description 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, typically 15 minutes
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 beneath the skin or into muscle for therapy, diagnosis, or prevention
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

Medical Specialties & State Licenses

CMS Verified: 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.

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Minyo Ticer , FNP-BC

Nurse Practitioner - Family

NPI 1396177598

Family Nurse Practitioner (Board Certified)

Crista Merriman , APRN

Nurse Practitioner - Family

NPI 1548836190

Advanced Practice Registered Nurse

April Kibble , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1568716942

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

Nicole Ruopp

Physician Assistant

NPI 1750910873
Jason Blandford , FNP-BC

Nurse Practitioner - Family

NPI 1952056004

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location April 30, 2024

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

📍
Updated Business Mailing Address April 30, 2024

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

Physician Assistant

📍
Updated Practice Location October 04, 2023

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

📍
Updated Business Mailing Address October 04, 2023

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2023

Physician Assistant (License #5265 in TN)

NPI Profile Active September 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2022

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

📍
Updated Business Mailing Address September 13, 2022

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

👤
Provider Name / Credentials Updated September 13, 2022

Recorded as JESSIE KIBBE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

2432 E Main St

Jackson, MO 637552664

Phone: 5737552305

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.