Jacquelyn Rain Kelly, - Medicare Nurse Practitioner in Trophy Club, TX

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Jacquelyn Rain Kelly, is a medicare enrolled "Nurse Practitioner - Family" in Trophy Club, Texas. Her current practice location is 2222 Glasgow Dr, Trophy Club, Texas. You can reach out to her office (for appointments etc.) via phone at (941) 321-0439.

Jacquelyn Rain Kelly is licensed to practice in Georgia (license number RN250200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275144867.

Contact Information

Jacquelyn Rain Kelly,
2222 Glasgow Dr,
Trophy Club, TX 76262-5491
(941) 321-0439
Not Available

Map and Direction




Provider's Profile

Full NameJacquelyn Rain Kelly
GenderFemale
SpecialityNurse Practitioner - Family
Location2222 Glasgow Dr, Trophy Club, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275144867
  • Provider Enumeration Date: 08/17/2020
  • Last Update Date: 01/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597156265
  • Enrollment ID: I20230511000766

Medical Identifiers

Medical identifiers for Jacquelyn Rain Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275144867NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care RN250200 (Georgia)Secondary
207QA0505XFamily Medicine - Adult Medicine 1023315 (Texas)Secondary
363LF0000XNurse Practitioner - Family RN250200 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacquelyn Rain Kelly allows following entities to bill medicare on her behalf.
Entity NameHealthyhouse Visits Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124725379
PECOS PAC ID: 5092171397
Enrollment ID: O20230511000684

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. Jacquelyn Rain 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 AddressPractice Location Address
Jacquelyn Rain Kelly,
2222 Glasgow Dr,
Trophy Club, TX 76262-5491

Ph: (941) 321-0439		Jacquelyn Rain Kelly,
2222 Glasgow Dr,
Trophy Club, TX 76262-5491

Ph: (941) 321-0439

Reviews and Comments


Nurse Practitioner Nurses in Trophy Club, TX

Jennifer Gerard, FNP-C, IBCLC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2219 Greenan Dr, Trophy Club, TX 76262
Phone: 000-000-0000    Fax: 769-287-0219
Consuela Denise Harris, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2800 East Texas Highway 114, Ste 350, Trophy Club, TX 76262
Phone: 817-674-7983    
Kalie Irene Mullen, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2300 Sh-114 Ste. 300, Trophy Club, TX 76262
Phone: 817-347-8100    Fax: 817-349-8099
Andrea Gaye Landon, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 105 Fresh Meadow Dr, Trophy Club, TX 76262
Phone: 817-907-6553    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.