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KAYLA BROCKWELL JACKSON ARNP
NPI 1740800788
Nurse Practitioner - Family in Louisville, KY

Active since April 20, 2020PECOS Enrolled
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 636-7225(502) 636-8032 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2024, Apr 12, 2023, Jun 15, 2020 and 1 more (4 updates tracked since 2020).

About Kayla Brockwell Jackson Arnp NPPES

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

KAYLA BROCKWELL JACKSON ARNP (NPI 1740800788) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4020267) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740800788
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLA BROCKWELL JACKSONCredential: ARNP
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217-1318
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 636-7225
Fax(502) 636-8032
Sole ProprietorNo
Enumeration DateApril 20, 2020
Last NPPES UpdateOctober 16, 20244 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1740800788 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 KY · 4020267✔ Licensed in IN · 71009988A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1081653 (TX)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 71009988A (IN)
1 AUDUBON PLAZA DR, Louisville, KY 40217
Open in Google Maps ↗

Other Names 1

Former Name (1)Kayla J Brockwell

Secondary Practice Locations 2

Location 12900 W 16th StBedford, IN 47421-3510 · Phone (812) 275-1381 · Fax (812) 275-1299
Location 21850 State StNew Albany, IN 47150-4990 · Phone (812) 948-6742

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Brockwell Jackson Arnp 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 Reassignments

4

Medicare enrollment records show Kayla Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Floyd Emergency Medicine Associates PC
7.7 mi
Emergency Medicine
700 E SPRING ST STE 200
New Albany, IN 47150
  • Reassigned Medicare billing, Indiana enrollment
  • 27 clinicians in this Medicare group
NPI 1194869255 (812) 945-7536
Indiana University Health Southern Indiana Physicians, LLC
81 mi
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
NPI 1013953983 (812) 353-5252
Hospitalist Medicine Physicians Of Texas - Houston, PLLC
935 mi
Emergency Medicine
2601 DIMMITT RD
Plainview, TX 79072
  • Reassigned Medicare billing, Texas enrollment
  • 217 clinicians in this Medicare group
NPI 1760028740 (806) 296-5531
Emergency Medicine Services Of Tx, PLLC
950 mi
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
NPI 1245938729 (210) 575-4000

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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
64 services61 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

COREY WARF M.D.
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7225
MICHAEL DYLAN COOPER BSN, RN
Registered Nurse (Administrator)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (606) 282-0971
ANDREW CHRISTOPHER ANGEL MD
General Practice
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7225
JACQUELINE MARIA CASE CRNA
Nurse Anesthetist, Certified Registered
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7160
DR. RANDALL JOSHUA CAMPBELL M.D.
Anesthesiology
1 AUDUBON PLAZA DR, ATTN: RUBY POLTNER
LOUISVILLE, KY 40217
Jefferson County (502) 636-7160
LAUREN FLAHERTY PA-C
Physician Assistant
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 634-6767
ADAM LEHNIG MD
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 636-7255
DR. BRETT ALLEN MILLER M.D.
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Jefferson County (502) 634-6767

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 Kayla Jackson's NPI number?

The NPI number for Kayla Jackson is 1740800788. It was assigned to this individual provider in the NPPES registry on April 20, 2020. The provider is also known as Kayla J Brockwell.

Where is Kayla Jackson located?

Kayla Jackson practices at 1 Audubon Plaza Dr, Louisville, KY 40217. The listed phone number is (502) 636-7225.

What is Kayla Jackson's specialty?

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

Is Kayla Jackson enrolled in Medicare?

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

Which organizations bill Medicare for Kayla Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Jackson reassigns Medicare benefits to 4 organizations: Floyd Emergency Medicine Associates PC (New Albany, IN), Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Hospitalist Medicine Physicians Of Texas - Houston, PLLC (Plainview, TX) and Emergency Medicine Services Of Tx, PLLC (San Antonio, TX). Each 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 Kayla Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Kayla 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 Kayla Jackson was last updated on October 16, 2024. 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.