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

Jacob Dusselier

Individual provider Anesthesiologist Assistant · NPI 1750941456

Jacob Dusselier is an Anesthesiology Assistant in Kansas City, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2019, 7 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
In the registry since
2019
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Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2019020369 (MO)

Record details

NPI number1750941456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESJune 18, 2019
Mailing address2401 Gillham Rd, Kansas City, MO 64108-4619

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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