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JACKIE KELLY APRN
NPI 1790189843
Nurse Practitioner - Family in Rotan, TX

Active since October 17, 2014PECOS EnrolledAccepts Medicare Assignment
774 STATE HIGHWAY 70 N, ROTAN, TX 79546(325) 735-2256 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Kelly Aprn NPPES

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

JACKIE KELLY APRN (NPI 1790189843) is an individual family provider in Rotan, Texas, licensed in Texas (AP126693) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Rolling Plains Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790189843
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE KELLYCredential: APRN
Location Address774 STATE HIGHWAY 70 NRotan, TX 79546-6918
Mailing Address774 State Highway 70 NRotan, TX 79546-6918 · (325) 735-2211 · Fax (325) 735-2240
Phone(325) 735-2256
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 17, 2014
Last NPPES UpdateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
✔ NPI 1790189843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP126693
774 STATE HIGHWAY 70 N, Rotan, TX 79546
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Jackie Kelly Aprn 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 ID4183940083
PECOS Enrollment IDI20150312001806
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 3

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

Rolling Plains Memorial Hospital

Acute Care Hospitals · Sweetwater, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450055
Location200 E ArizonaSweetwater, TX 79556 · Nolan County
Emergency services Birthing friendly

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Fisher County Hospital District

Critical Access Hospitals · Rotan, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451313
Location774 State Highway 70 NRotan, TX 79546 · Fisher County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79546 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 16

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

BERT W WOFFORD M.D.
Family Medicine
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Fisher County (325) 735-2211
FISHER COUNTY DURA-MEDICAL EQUIPMENT CO.
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
774 STATE HIGHWAY 70 N, P.O. DRAWER F
ROTAN, TX 79546
Fisher County (325) 735-2256
DR. CHAD LEWIS WHITE MD
Family Medicine
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Fisher County (325) 735-2256
TOUTBON LLC
Pharmacy (Long Term Care Pharmacy)
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Fisher County (325) 735-2500
FISHER COUNTY HOSPITAL DISTRICT
Durable Medical Equipment & Medical Supplies
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Fisher County (325) 735-2256
ERIN FRENCH PHARMD
Pharmacist
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Fisher County (325) 735-2500
JOSEPH CARVER LAMPLEY D.O.
Family Medicine
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Fisher County (325) 735-2211
FISHER COUNTY HOSPITAL DISTRICT
Medicare Defined Swing Bed Unit
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Fisher County (325) 735-2256

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 Jackie Kelly's NPI number?

The NPI number for Jackie Kelly is 1790189843. It was assigned to this individual provider in the NPPES registry on October 17, 2014.

Where is Jackie Kelly located?

Jackie Kelly practices at 774 State Highway 70 N, Rotan, TX 79546. The listed phone number is (325) 735-2256.

What is Jackie Kelly's specialty?

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

Is Jackie Kelly enrolled in Medicare?

Yes. Jackie Kelly 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.

What insurance does Jackie Kelly accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jackie Kelly 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.

Is Jackie Kelly affiliated with any hospitals?

According to CMS data, Jackie Kelly is affiliated with Rolling Plains Memorial Hospital, Hendrick Medical Center and Fisher County Hospital District.

When was this NPI record last updated?

The NPPES record for Jackie Kelly was last updated on October 10, 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.