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

Q: 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.

Q: What is Kelsey Jackson'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 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.

Active since April 25, 2023PECOS EnrolledAccepts Medicare Assignment

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: August 16, 2026.

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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, is affiliated with Weatherford Regional Hospital, Inc Of Weatherford, and is a graduate of Other (2022).

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

Medical School CMSOtherGraduated 2022

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

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Accepted Insurance

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

Kelsey Nicole Jackson Aprn-cnp 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 ID2860858909

PECOS Enrollment IDI20230516002645

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.

Hospital Affiliations CMS Care Compare 2

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

Weatherford Regional Hospital, Inc Of Weatherford

Critical Access Hospitals · Weatherford, OK

OwnershipGovernment - Hospital District or Authority

CMS Certification Number371323

Location3701 E MainWeatherford, OK 73096 · Custer County

Emergency services

Cordell Memorial Hospital

Critical Access Hospitals · Cordell, OK

OwnershipGovernment - Hospital District or Authority

CMS Certification Number371325

Location1220 North Glenn English StreetCordell, OK 73632 · Washita County

Emergency services

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)