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: July 19, 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
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

Accepted 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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.23 for a new patient copayment and $24.26 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 79546 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.92
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.05
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $24.26
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jackie Kelly is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ROLLING PLAINS MEMORIAL HOSPITAL200 E ARIZONA
SWEETWATER, TX 79556
(325) 235-1701Acute Care Hospitals
HENDRICK MEDICAL CENTER1900 PINE
ABILENE, TX 79601
(325) 670-2000Acute Care Hospitals
FISHER COUNTY HOSPITAL DISTRICT774 STATE HIGHWAY 70 N
ROTAN, TX 79546
(325) 735-2256Critical Access Hospitals

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Family Planning Facility)
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Clinic/Center (Rural Health)
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Family Medicine
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
General Acute Care Hospital (Critical Access)
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Ambulance (Land Transport)
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Medicare Defined Swing Bed Unit
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Emergency Medicine
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Family Medicine
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Pharmacy (Community/Retail Pharmacy)
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Pharmacy (Long Term Care Pharmacy)
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Pharmacist
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
774 STATE HIGHWAY 70 N, P.O. DRAWER F
ROTAN, TX 79546
Durable Medical Equipment & Medical Supplies
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Family Medicine
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Nurse Practitioner (Family)
774 STATE HIGHWAY 70 N
ROTAN, TX 79546
Family Medicine
774 STATE HIGHWAY 70 N
ROTAN, TX 79546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790189843, enumerated as an "individual" on October 17, 2014.

The provider is located at 774 STATE HIGHWAY 70 N ROTAN, TX 79546 and the phone number is (325) 735-2256.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Jackie Kelly is affiliated with: ROLLING PLAINS MEMORIAL HOSPITAL, HENDRICK MEDICAL CENTER and FISHER COUNTY HOSPITAL DISTRICT.