KELLEY J JACKSON WHNP
NPI 1558044644
Nurse Practitioner - Women's Health in Placerville, CA

Q: What is Kelley Jackson's NPI number?

The NPI number for Kelley Jackson is 1558044644. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Q: What is Kelley Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Jackson was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 08, 2023PECOS EnrolledAccepts Medicare Assignment

1095 MARSHALL WAY, PLACERVILLE, CA 95667(530) 344-5470 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kelley J Jackson Whnp NPPES

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

KELLEY J JACKSON WHNP (NPI 1558044644) is an individual women's health provider in Placerville, California, licensed in California (95026533) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2023).

NPPES Registry Identity

NPI1558044644

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKELLEY J JACKSONCredential: WHNP

Location Address1095 MARSHALL WAYPlacerville, CA 95667-5722

Mailing Address1550 Iron Point Rd Apt 1312Folsom, CA 95630-7814 · (916) 202-8490

Phone(530) 344-5470

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2023

Enumeration DateAugust 8, 2023

NPPES CertifiedAugust 8, 2023

✔ NPI 1558044644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 95026533

1095 MARSHALL WAY, Placerville, CA 95667

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Kelley J Jackson Whnp 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 ID1658734603

PECOS Enrollment IDI20230824000975

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.

54 services47 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

49 services49 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95667 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 20

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

CAROL MARIE FOLEY FNP

Nurse Practitioner

1095 MARSHALL WAY
PLACERVILLE, CA 95667

El Dorado County (530) 626-2920

AMRIT SINGH M.D.

Hospitalist

1095 MARSHALL WAY
PLACERVILLE, CA 95667

El Dorado County (530) 626-2920

LAWRENCE MOORE M.D.

Family Medicine

1095 MARSHALL WAY
PLACERVILLE, CA 95667

El Dorado County (530) 626-2920

DR. MUKESH MUNGALPARA M.D.

Hospitalist

1095 MARSHALL WAY
PLACERVILLE, CA 95667

El Dorado County (530) 626-2920

DR. LEANNE M CAMISA M.D.

Family Medicine

1095 MARSHALL WAY
PLACERVILLE, CA 95667

El Dorado County (530) 626-2920

HOWARD ROY ROSEN M.D.

Hospitalist

1095 MARSHALL WAY
PLACERVILLE, CA 95667

El Dorado County (530) 626-2920

MRS. KATHRYN ANN SULLIVAN NP

Nurse Practitioner

1095 MARSHALL WAY, 2ND FLOOR
PLACERVILLE, CA 95667

El Dorado County (530) 626-6155

DR. CESAR KOA ANG MD

Internal Medicine

1095 MARSHALL WAY
PLACERVILLE, CA 95667

El Dorado County (530) 626-2920

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 Kelley Jackson's NPI number?

The NPI number for Kelley Jackson is 1558044644. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Where is Kelley Jackson located?

Kelley Jackson practices at 1095 Marshall Way, Placerville, CA 95667. The listed phone number is (530) 344-5470.

What is Kelley Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kelley Jackson enrolled in Medicare?

Yes. Kelley Jackson 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.

When was this NPI record last updated?

The NPPES record for Kelley Jackson was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.