1. Home
  2. Directory
  3. Colorado
  4. Centennial
  5. Physician Assistant
  6. NPI Profile

KELI NALU PATRICIA JACKSON PA-C
NPI 1447062211
Physician Assistant in Centennial, CO

Active since January 21, 2025
6746 S REVERE PKWY STE 180, CENTENNIAL, CO 80112(303) 632-3640(303) 632-3642 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Keli Nalu Patricia Jackson Pa-c NPPES

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

KELI NALU PATRICIA JACKSON PA-C (NPI 1447062211) is an individual physician assistant in Centennial, Colorado, licensed in Colorado (0008946) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1447062211
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELI NALU PATRICIA JACKSONCredential: PA-C
Location Address6746 S REVERE PKWY STE 180Centennial, CO 80112-6763
Mailing Address6746 S Revere Pkwy Ste 180Centennial, CO 80112-6763 · (303) 632-3640 · Fax (303) 632-3642
Phone(303) 632-3640
Fax(303) 632-3642
Sole ProprietorNo
Enumeration DateJanuary 21, 2025
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1447062211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · 0008946
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6746 S REVERE PKWY STE 180, Centennial, CO 80112
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

GERAGHTY FAMILY MEDICINE PC
Family Medicine
6746 S REVERE PKWY STE 180
CENTENNIAL, CO 80112
Arapahoe County (303) 632-3640
DR. JOHN STEVEN GERAGHTY MD
Family Medicine
6746 S REVERE PKWY STE 180
CENTENNIAL, CO 80112
Arapahoe County (303) 632-3640

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 Keli Jackson's NPI number?

The NPI number for Keli Jackson is 1447062211. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Where is Keli Jackson located?

Keli Jackson practices at 6746 S Revere Pkwy Ste 180, Centennial, CO 80112. The listed phone number is (303) 632-3640.

What is Keli Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Keli Jackson was last updated on June 11, 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.