Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson Hitzemann

Individual provider Physician Assistant · NPI 1790547784

Jackson Hitzemann is a Physician Assistant in Overland Park, Kansas. Graduated from University of Missouri, Kansas City, School of Medicine in 2025, 1 year ago. Practices with Overland Park Surgical Specialties LLC, a 88-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
KS
In the registry since
2024
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Practice location Address checks out

15101 Glenwood Ave
Overland Park, KS 66223-3154
Phone: (913) 681-8866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-03095 (KS)

Record details

NPI number1790547784
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2024
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Overland Park Surgical Specialties Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Overland Park