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

Whitney Pepper Jackson, PA

Individual provider Physician Assistant · NPI 1164238648

Whitney Pepper Jackson, PA is a Physician Assistant in Manhattan, Kansas. Graduated from Creighton University School of Medicine in 2024, 2 years ago. Practices with Kansas Medical Clinic PA, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Trained at
Creighton University School of Medicine
Licensed in
KS
In the registry since
2024
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

4201B Anderson Ave Ste 2
Manhattan, KS 66503-7601
Phone: (785) 320-7774
Fax: (785) 320-7758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1602 W 15th Ave Ste D, Emporia, KS 66801-9804 — (620) 208-8518

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-03127 (KS)

Record details

NPI number1164238648
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address2200 Sw 6th Ave Ste 104, Topeka, KS 66606-1707

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Kansas Medical Clinic Pa — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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