Doctor profile · Federal record
Dr. Courtney Jack, APRN-BC
Family Nurse Practitioner (CMS: Nurse Practitioner) · Family Nurse Practitioner · Family Nurse Practitioner · Family Nurse Practitioner · Family Nurse Practitioner · Family Nurse Practitioner · Family Nurse Practitioner · Family Nurse Practitioner · Family Nurse Practitioner · Lees Summit, MO
- NPI 1336740620
- Accepts Medicare
- 6 yrs in practice
- Licensed in 9 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
400 Sw Longview Blvd Ste 280
Lees Summit, MO 640812157
(816) 477-7200 - Mailing address
-
724 Sw 30Th St
Blue Springs, MO 640153381
Credentials & registration
- NPI registered
- November 2020 — 6 yrs on file
- Profile last updated
- March 21, 2025
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (9)
- Missouri #2020029102 · Illinois #209.031610 · Kansas #79693 · Iowa #A181796 · Ohio #0038214 · Wisconsin #16215-33 · Indiana #71016015A · Minnesota #12487 · Nebraska #115898
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336740620. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
908
Distinct HCPCS
10
Medicare allowed
$67,226
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 242 | 60 | $88 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 175 | 54 | $61 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 171 | 50 | $61 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 117 | 42 | $87 | |
99349 |
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 45 | 15 | $105 | |
99307 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 36 | 22 | $32 | |
99348 |
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 28 | 15 | $63 | |
99310 |
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 20 | 19 | $126 | |
99316 |
Nursing facility discharge management, more than 30 minutes | 18 | 18 | $108 | |
G0317 |
Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | 15 | 14 | $25 |
In context: peer comparison
Among 38 peers in Lees Summit Family Nurse Practitioner, average services per provider: 158. This provider delivers 5.7× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
711
Patients
99
Total drug cost
$23,812
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 103 | 19 | $1,458 |
| Furosemide | Generic | 82 | 13 | $514 |
| Trazodone Hcl | Generic | 68 | 11 | $496 |
| Levothyroxine Sodium | Generic | 55 | 0 | $695 |
| Lantus Solostar (Insulin Glargine,Hum.Rec.Anlog) | Brand | 53 | 0 | $7,334 |
| Tramadol Hcl | Generic | 50 | 24 | $306 |
| Potassium Chloride | Generic | 48 | 14 | $678 |
| Pregabalin | Generic | 39 | 0 | $1,344 |
| Clonazepam | Generic | 35 | 0 | $217 |
| Mirtazapine | Generic | 34 | 0 | $1,067 |
Frequently asked questions
What is Dr. Courtney Jack's medical specialty?
Dr. Courtney Jack practices Family Nurse Practitioner in Lees Summit, MO.
Where does Dr. Courtney Jack practice?
Dr. Courtney Jack practices at 400 Sw Longview Blvd Ste 280, Lees Summit, MO 640812157. Office phone: 8164777200.
What is Dr. Courtney Jack's NPI?
Dr. Courtney Jack's National Provider Identifier (NPI) is 1336740620, issued by NPPES.
Does Dr. Courtney Jack accept Medicare assignment?
Yes. Dr. Courtney Jack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Courtney Jack commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309); Subsequent nursing facility care with straightforward level of medical decision making (HCPCS 99308); Subsequent nursing facility care with straightforward level of medical decision making (HCPCS 99308). Source: CMS Medicare Physician & Other Practitioners file.