JACQUELINE KELLEY
NPI 1245644780
Nurse Practitioner in Sioux Falls, SD

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1309 W 17TH ST STE 101, SIOUX FALLS, SD 57104(605) 328-8000(605) 328-8001 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2019, Feb 12, 2016 (2 updates tracked since 2016).

About Jacqueline Kelley NPPES

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

JACQUELINE KELLEY (NPI 1245644780) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (R035299) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245644780
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELINE KELLEY
Location Address1309 W 17TH ST STE 101Sioux Falls, SD 57104-8805
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(605) 328-8001
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 12, 2014
Last NPPES UpdateJuly 1, 20192 updates tracked since enumeration
NPI 1245644780 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 SD · R035299
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.
1309 W 17TH ST STE 101, Sioux Falls, SD 57104

Accepted 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

Jacqueline Kelley 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 ID3971808874
PECOS Enrollment IDI20160301000920, I20170511001170
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
157 services137 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
117 services84 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431334
Location745 East 8th StreetWinner, SD 57580 · Tripp County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Hospice and Palliative Medicine)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Internal Medicine (Hematology & Oncology)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Physician Assistant
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Internal Medicine (Hospice and Palliative Medicine)
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST STE 101
SIOUX FALLS, SD 57104

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 Jacqueline Kelley's NPI number?

The NPI number for Jacqueline Kelley is 1245644780. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Jacqueline Kelley located?

Jacqueline Kelley practices at 1309 W 17th St Ste 101, Sioux Falls, SD 57104. The listed phone number is (605) 328-8000.

What is Jacqueline Kelley's specialty?

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

Is Jacqueline Kelley enrolled in Medicare?

Yes. Jacqueline Kelley 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 Jacqueline Kelley accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Jacqueline Kelley 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.

Is Jacqueline Kelley affiliated with any hospitals?

According to CMS data, Jacqueline Kelley is affiliated with Orange City Area Health System, Sanford Worthington Medical Center, Sanford Luverne Medical Center, Sanford Usd Medical Center and Winner Regional Healthcare Center - Cah.

When was this NPI record last updated?

The NPPES record for Jacqueline Kelley was last updated on July 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.