Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey Nicole Jackson, APRN-CNP

Individual provider Nurse Practitioner · NPI 1376046607

Kelsey Nicole Jackson, APRN-CNP is a Nurse Practitioner in Olathe, Kansas. Qualified in 2017, 9 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Kansas and Oklahoma.

Years since qualifying
9
Licensed in
KS, OK
In the registry since
2018
Specialties on file
2

Practice location Address checks out

20805 W 151st St Ste 400
Olathe, KS 66061-7249
Phone: (913) 780-4900
Fax: (913) 780-0949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 929 Sw Mulvane St, Topeka, KS 66606 — (785) 270-4100
  • 4120 W Memorial Rd Ste 300, Oklahoma City, OK 73120-9322 — (405) 748-3300
  • 4120 W Memorial Rd Ste 300, Oklahoma City, OK 73120-9322 — (405) 748-3300

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 78371 (KS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 111828 (OK)

Record details

NPI number1376046607
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedMarch 13, 2018
Last updated in NPPESJune 21, 2024
Certification dateJune 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Olathe