Jackie Kelly, APRN is a medicare enrolled "Nurse Practitioner - Family" in Rotan, Texas. Her current practice location is
774 State Highway 70 N, Rotan, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 735-2256.
Jackie Kelly is licensed to practice in Texas (license number AP126693) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790189843.
Provider's Profile
Full Name | Jackie Kelly |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 774 State Highway 70 N, Rotan, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jackie Kelly attended and graduated from in
NPI Data:
- NPI Number: 1790189843
- Provider Enumeration Date: 10/17/2014
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jackie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790189843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP126693 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Kelly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jackie Kelly, APRN 774 State Highway 70 N, Rotan, TX 79546-6918 Ph: (325) 735-2211 | Jackie Kelly, APRN 774 State Highway 70 N, Rotan, TX 79546-6918 Ph: (325) 735-2256 |
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