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KELLY A JACKSON DC
NPI 1104986793
Chiropractor in Natick, MA

Active since December 12, 2006Accepts Medicare Assignment
190 NORTH MAIN STREET, NATICK, MA 01760(508) 651-2646(508) 655-6650 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly A Jackson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A JACKSON DC (NPI 1104986793) is an individual chiropractor in Natick, Massachusetts, licensed in Massachusetts (1797) and active in the NPI registry since December 2006. She is a graduate of Los Angeles College Of Chiropractic (1992).

NPPES Registry Identity

NPI1104986793
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKELLY A JACKSONCredential: DC
Location Address190 NORTH MAIN STREETNatick, MA 01760
Mailing Address190 North Main StreetNatick, MA 01760 · (508) 651-2646 · Fax (508) 655-6650
Phone(508) 651-2646
Fax(508) 655-6650
Sole ProprietorYes
Medical School CMSLos Angeles College Of ChiropracticGraduated 1992
Enumeration DateDecember 12, 2006
Last NPPES UpdateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
✔ NPI 1104986793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MA · 1797
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
190 NORTH MAIN STREET, Natick, MA 01760
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Other Identifiers 2

OtherY36275MA · Bcbs
OtherY39303MA · Group # Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly A Jackson Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284616905
PECOS Enrollment IDI20040604000826

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
831 services89 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DEBORAH ANN LADA APRN, BC
Nurse Practitioner (Occupational Health)
190 NORTH MAIN STREET
NATICK, MA 01760
Middlesex County (508) 655-9766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1104986793. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Kelly Jackson located?

Kelly Jackson practices at 190 North Main Street, Natick, MA 01760. The listed phone number is (508) 651-2646.

What is Kelly Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kelly Jackson enrolled in Medicare?

Yes. Kelly Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelly Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Jackson was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.