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

Travis Lee Jacobs, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1154555761

Travis Lee Jacobs, PHYSICIANASSISTANT is a Physician Assistant in Kansas City, Missouri. Qualified in 2008, 18 years ago. Practices with Emergent Care Plus LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Georgia and Missouri.

Years since qualifying
18
Licensed in
GA, MO
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

10015 N Ambassador Dr
Kansas City, MO 64153-1365
Phone: (816) 595-4000
Fax: (816) 595-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MO)
Physician Assistant Taxonomy 363A00000X · Licence 1086052 (GA)

Record details

NPI number1154555761
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 11, 2009
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025

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 Emergent Care Plus Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kansas City