P Praxis·MD
● Active Type 1 · Individual

Jackie Kelly, APRN

Nurse Practitioner·Rotan, TX· NPI 1790189843 · Enumerated 2014 · 11 years on NPI
Kelly is 1 of 2 nurse practitioner providers in Rotan and 1 of 22123 in Texas.
NPI age
11 years
Enumerated 2014-10-17
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-10
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
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-10Enumerated in NPPES
2014 2026

Where they practice

Practice location
774 State Highway 70 N
Rotan, TX 795466918
📞 3257352256
Mailing address
774 State Highway 70 N
Rotan, TX 795466918
📞 3257352211fax 3257352240

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP126693 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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