Jackie Kelly, APRN - Medicare Nurse Practitioner in Rotan, TX

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Jackie Kelly, APRN is a medicare enrolled "Nurse Practitioner - Family" in Rotan, Texas. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fisher County Hospital District and her current practice location is 774 State Highway 70 N, Rotan, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 735-2256.

Jackie Kelly is licensed to practice in Texas (license number AP126693) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790189843.

Contact Information

Jackie Kelly, APRN
774 State Highway 70 N,
Rotan, TX 79546-6918
(325) 735-2256
Not Available

Map and Direction




Provider's Profile

Full NameJackie Kelly
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location774 State Highway 70 N, Rotan, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jackie Kelly graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1790189843
  • Provider Enumeration Date: 10/17/2014
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183940083
  • Enrollment ID: I20150312001806

Medical Identifiers

Medical identifiers for Jackie Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790189843NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP126693 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home Health Of West Texas, LlcSnyder, TXHome health agency
Fisher County Hospital DistrictRotan, TXHospital
Rolling Plains Memorial HospitalSweetwater, TXHospital
Hendrick Medical CenterAbilene, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fisher County Hospital District216331146527

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackie Kelly allows following entities to bill medicare on her behalf.
Entity NameFisher County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104808112
PECOS PAC ID: 2163311465
Enrollment ID: O20040315000096
Entity NameFisher County Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1598746703
PECOS PAC ID: 2163311465
Enrollment ID: O20100927001467

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Kelly, APRN
774 State Highway 70 N,
Rotan, TX 79546-6918

Ph: (325) 735-2211		Jackie Kelly, APRN
774 State Highway 70 N,
Rotan, TX 79546-6918

Ph: (325) 735-2256

Reviews and Comments


Nurse Practitioner Nurses in Rotan, TX

Kevin Joseph Kelly, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 774 State Highway 70 N, Rotan, TX 79546
Phone: 325-735-2256    Fax: 325-735-3070

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.