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

Jessie Lee Kibbe, PA-C

Individual provider Physician Assistant · NPI 1457073876

Jessie Lee Kibbe, PA-C is a Physician Assistant in Jackson, Missouri. Graduated from Lincoln Memorial University Medical Department in 2022, 4 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
Lincoln Memorial University Medical Department
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2432 E Main St
Jackson, MO 63755-2664
Phone: (573) 755-2305
Fax: (800) 800-5123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1457073876
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 13, 2022
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2022 (4 years in practice)
Group practice Southeast Missouri Hospital Physicians Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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