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

Jennifer L Distasio, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396065447

Jennifer L Distasio, MD is an Obstetrics/Gynecology in North Kansas City, Missouri. Graduated from Saint Louis University School of Medicine in 2014, 12 years ago. Practices with Meritas Health Corporation, a 494-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2790 Clay Edwards Dr Ste 1200
North Kansas City, MO 64116-3253
Phone: (816) 468-7800
Fax: (816) 468-8531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2010019752 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396065447
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2010
Last updated in NPPESOctober 19, 2017
Mailing address2790 Clay Edwards Dr Ste 1200, North Kansas City, MO 64116-3253

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Meritas Health Corporation — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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