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

Victoria Renee Jackson, DO

Individual provider Family Medicine Physician · NPI 1053970426

Victoria Renee Jackson, DO is a Family Practice in Kansas City, Missouri. Qualified in 2022, 4 years ago. Practices with Meritas Health Corporation, a 494-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2000 NE Vivion Rd Ste 100
Kansas City, MO 64118-6127
Phone: (816) 453-1314
Fax: (816) 453-3434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2020037120 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2019018906 (MO)

Record details

NPI number1053970426
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Meritas Health Corporation — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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