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

Individual provider Physician Assistant · NPI 1174779250

Jon Robert Humiston, PA is a Physician Assistant in Kansas City, Missouri. Qualified in 2008, 18 years ago. Practices with Signature Medical Group of Kc PA, a 27-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
18
Licensed in
MO
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6675 Holmes Rd Ste 400&425
Kansas City, MO 64131-1150
Phone: (816) 276-7410
Fax: (816) 276-7450
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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 2018002356 (MO)

Record details

NPI number1174779250
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 8, 2008
Last updated in NPPESJanuary 31, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Signature Medical Group Of Kc Pa — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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