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KELSEY NICOLE JACKSON APRN-CNP
NPI 1407544745
Nurse Practitioner - Family in Weatherford, OK

Active since April 25, 2023PECOS Enrolled
1303 N WASHINGTON ST, WEATHERFORD, OK 73096(580) 772-2820 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelsey Nicole Jackson Aprn-cnp NPPES

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

KELSEY NICOLE JACKSON APRN-CNP (NPI 1407544745) is an individual family provider in Weatherford, Oklahoma, licensed in Oklahoma (212635) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407544745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY NICOLE JACKSONCredential: APRN-CNP
Location Address1303 N WASHINGTON STWeatherford, OK 73096-2443
Mailing Address1303 N Washington StWeatherford, OK 73096-2443 · (580) 772-2820
Phone(580) 772-2820
Sole ProprietorNo
Enumeration DateApril 25, 2023
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1407544745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 212635
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 212635 (OK)
1303 N WASHINGTON ST, Weatherford, OK 73096
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Nicole Jackson Aprn-cnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelsey Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Williams Medical Group Practice, LLC
64 mi
Family Medicine
6744 NW CACHE RD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 249 clinicians in this Medicare group
NPI 1346608809 (580) 536-9355

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73096 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 6

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

NICOLE MARIE WEDEL FNP-C
Nurse Practitioner (Family)
1303 N WASHINGTON ST
WEATHERFORD, OK 73096
Custer County (580) 772-2820
WILLIAMS MEDICAL GROUP PRACTICE, LLC
Clinic/Center (Rural Health)
1303 N WASHINGTON ST
WEATHERFORD, OK 73096
Custer County (580) 772-2845
MRS. TAMARA JO GRABEAL APRN-CNP
Nurse Practitioner (Family)
1303 N WASHINGTON ST
WEATHERFORD, OK 73096
Custer County (580) 772-2820
SUSAN ELAINE HIGHTOWER APRN
Nurse Practitioner (Family)
1303 N WASHINGTON ST
WEATHERFORD, OK 73096
Custer County (580) 772-2820
SARAH NICOLE TAYLOR FNP-C
Nurse Practitioner (Family)
1303 N WASHINGTON ST
WEATHERFORD, OK 73096
Custer County (580) 772-2820
TANNER SCOTT HOLSTED APRN-CNP
Nurse Practitioner (Family)
1303 N WASHINGTON ST
WEATHERFORD, OK 73096
Custer County (580) 772-2820

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 1407544745. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Kelsey Jackson located?

Kelsey Jackson practices at 1303 N Washington St, Weatherford, OK 73096. The listed phone number is (580) 772-2820.

What is Kelsey Jackson's specialty?

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

Is Kelsey Jackson enrolled in Medicare?

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

Which organization bills Medicare for Kelsey Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Jackson reassigns Medicare benefits to Williams Medical Group Practice, LLC (Lawton, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Jackson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kelsey 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 Kelsey Jackson was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.