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KELSEY JACKSON NP
NPI 1184549164
Nurse Practitioner in Dallas, TX

Active since August 11, 2026PECOS Enrolled
200 W COMMERCE ST APT 428, DALLAS, TX 75208(901) 240-7154 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kelsey Jackson Np NPPES

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

KELSEY JACKSON NP (NPI 1184549164) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (1244349) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184549164
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELSEY JACKSONCredential: NP
Location Address200 W COMMERCE ST APT 428Dallas, TX 75208-1388
Mailing Address200 W Commerce St Apt 428Dallas, TX 75208-1388
Phone(901) 240-7154
Sole ProprietorNo
Enumeration DateAugust 11, 2026
NPPES CertifiedAugust 10, 2026
✔ NPI 1184549164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1244349
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
200 W COMMERCE ST APT 428, Dallas, TX 75208
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Jackson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelsey Jackson's NPI number?

The NPI number for Kelsey Jackson is 1184549164. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Where is Kelsey Jackson located?

Kelsey Jackson practices at 200 W Commerce St Apt 428, Dallas, TX 75208. The listed phone number is (901) 240-7154.

What is Kelsey Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelsey Jackson enrolled in Medicare?

Yes. Kelsey Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Jackson was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.