NPI age
5 years
Enumerated 2020-08-17
● Active
Type 1 · Individual
Jacquelyn Rain Kelly
Kelly is 1 of 4 nurse practitioner providers in Trophy Club and 1 of 22123 in Texas.
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
TX, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
2
In the 23% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Practice location
2222 Glasgow Dr
Trophy Club, TX 762625491
Mailing address
2222 Glasgow Dr
Trophy Club, TX 762625491
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Family MedicineThe NUCC recommends this code not be used. Choose a more appropriate code.
-
Nurse PractitionerDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.