Kelsey Nicole Jackson, APRN-CNP in Weatherford, OK

Kelsey Nicole Jackson, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Weatherford, Oklahoma. Her current practice location is 1303 N Washington St, Weatherford, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 772-2820.

Kelsey Nicole Jackson is licensed to practice in Oklahoma (license number 212635) 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 1407544745.

Contact Information

	Kelsey Nicole Jackson, APRN-CNP
	1303 N Washington St, Weatherford, OK 73096-2443
	(580) 772-2820
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsey Nicole Jackson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1303 N Washington St, Weatherford, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407544745
Provider Enumeration Date: 04/25/2023
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2860858909
Enrollment ID: I20230516002645

Medical Identifiers

Medical identifiers for Kelsey Nicole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407544745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	212635 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	212635 (Oklahoma)	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. Kelsey Nicole Jackson allows following entities to bill medicare on her behalf.

Entity Name	Williams Medical Group Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300

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. Kelsey Nicole Jackson 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
Kelsey Nicole Jackson, APRN-CNP 1303 N Washington St, Weatherford, OK 73096-2443 Ph: (580) 772-2820	Kelsey Nicole Jackson, APRN-CNP 1303 N Washington St, Weatherford, OK 73096-2443 Ph: (580) 772-2820

Reviews and Comments

Nurse Practitioner Nurses in Weatherford, OK

Mrs. Kristy Renea Baker, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Illinois St, Weatherford, OK 73096 Phone: 580-323-1937 Fax: 580-323-1156
Nicole Marie Wedel, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1303 N Washington St, Weatherford, OK 73096 Phone: 580-772-2820
Nichole Marie Blackburn, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1315 N Washington St, Weatherford, OK 73096 Phone: 580-772-2344
John Karlin, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 N Kansas St, Weatherford, OK 73096 Phone: 580-774-4768 Fax: 580-774-0964
Mrs. Tamara Jo Grabeal, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1303 N Washington St, Weatherford, OK 73096 Phone: 580-772-2820 Fax: 580-772-2845
Paisley Trevino, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1315 N Washington St, Weatherford, OK 73096 Phone: 580-772-2344

Kelsey Nicole Jackson, APRN-CNP - Medicare Nurse Practitioner in Weatherford, OK