MRS. KELLY JACKSON RN FNP-C NPI 1033653431

NPI Details

MRS. Kelly Jackson, RN, FNP-C is a family nurse practitioner in San Augustine, TX with 9 years of experience. MRS. Kelly Jackson, RN, FNP-C NPI is 1033653431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

606 W COLUMBIA ST
SAN AUGUSTINE, TX
ZIP 75972-709
Phone: (936) 275-2940
Fax: (936) 275-2954

The NPI 1033653431 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
• Destruction of skin growth, 15 or more growths (HCPCS:17111)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Punch biopsy, first skin growth (HCPCS:11104)
• All potassium hydroxide (koh) preparations (HCPCS:Q0112)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Injection into skin growth, 1-7 growths (HCPCS:11900)
• Biopsy of ear (HCPCS:69100)
• Removal of skin tag, 1-15 skin tags (HCPCS:11200)
• Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
• Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
• Injection, fluorouracil, 500 mg (HCPCS:J9190)
• Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 12/5/2016 and was last updated on 12/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: