KELLY TEAGUE JACKSON APRN, FNP
NPI 1922740604
Nurse Practitioner - Family in Spring, TX

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment
2168 SPRING STUEBNER RD STE 270, SPRING, TX 77389(346) 478-1976 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Teague Jackson Aprn, Fnp NPPES

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

KELLY TEAGUE JACKSON APRN, FNP (NPI 1922740604) is an individual family provider in Spring, Texas, licensed in Texas (1073035) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922740604
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY TEAGUE JACKSONCredential: APRN, FNP
Location Address2168 SPRING STUEBNER RD STE 270Spring, TX 77389-5309
Mailing Address3111 Sunny Knoll CtKingwood, TX 77339-3637 · (832) 701-7451
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 12, 2022
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
NPI 1922740604 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 · 1073035
2168 SPRING STUEBNER RD STE 270, Spring, TX 77389

Secondary Practice Location 1

Location 110961 Northwest FwyHouston, TX 77092-7305 · Phone (713) 686-3700

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

Kelly Teague Jackson Aprn, Fnp 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 ID2062876634
PECOS Enrollment IDI20230914003433
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 12

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
216 services23 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
86 services41 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
82 services20 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
65 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services48 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
41 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77389 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1922740604. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Kelly Jackson located?

Kelly Jackson practices at 2168 Spring Stuebner Rd Ste 270, Spring, TX 77389. The listed phone number is (346) 478-1976.

What is Kelly Jackson's specialty?

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

Is Kelly Jackson enrolled in Medicare?

Yes. Kelly 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.

What insurance does Kelly Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas list Kelly 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 Kelly Jackson was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.