JACQUELYN RAIN KELLY
NPI 1275144867
Nurse Practitioner - Family in Trophy Club, TX

Q: What is Jacquelyn Kelly's NPI number?

The NPI number for Jacquelyn Kelly is 1275144867. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Q: What is Jacquelyn Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Kelly was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 17, 2020PECOS Enrolled

2222 GLASGOW DR, TROPHY CLUB, TX 76262(941) 321-0439 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 30, 2025, Jan 29, 2023, Mar 24, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Jacquelyn Rain Kelly NPPES

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

JACQUELYN RAIN KELLY (NPI 1275144867) is an individual family provider in Trophy Club, Texas, licensed in Texas (1023315) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275144867

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELYN RAIN KELLY

Location Address2222 GLASGOW DRTrophy Club, TX 76262-5491

Mailing Address2222 Glasgow DrTrophy Club, TX 76262-5491 · (941) 321-0439 · Fax (844) 691-1253

Phone(941) 321-0439

Sole ProprietorNo

Enumeration DateAugust 17, 2020

Last NPPES UpdateJune 30, 20254 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1275144867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TX · 1023315✔ Licensed in GA · RN250200

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 1023315 (TX)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN250200 (GA)

2222 GLASGOW DR, Trophy Club, TX 76262

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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)

Jacquelyn Rain Kelly 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 76262 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES

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

HEALTHYHOUSE VISITS PLLC

Nurse Practitioner (Family)

2222 GLASGOW DR
TROPHY CLUB, TX 76262

Denton County (941) 321-0439

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 Jacquelyn Kelly's NPI number?

The NPI number for Jacquelyn Kelly is 1275144867. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Jacquelyn Kelly located?

Jacquelyn Kelly practices at 2222 Glasgow Dr, Trophy Club, TX 76262. The listed phone number is (941) 321-0439.

What is Jacquelyn Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacquelyn Kelly enrolled in Medicare?

Yes. Jacquelyn Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Kelly was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.