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

Mr. Jacob Gaynor

Individual provider Family Nurse Practitioner · NPI 1114898509

Mr. Jacob Gaynor is a Nurse Practitioner in Kansas City, Kansas. Qualified in 2025, 1 year ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Licensed in
KS
In the registry since
2025
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Practice location Address checks out

3901 Raindbow Blvd
Kansas City, KS 66160-0001
Phone: (913) 588-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-84842-041 (KS)

Record details

NPI number1114898509
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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