Kelly Jackson
NPI 1831582204 · Surgical Physician Assistant · Scottsdale, AZ
Kelly Jackson is a Surgical Physician Assistant organization in Scottsdale, AZ (NPI 1831582204).
Provider details
- NPI number
- 1831582204
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kelly Jackson, Owner(214) 227-2457
- License
- AP4200 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-10
- Last updated
- 2015-03-10
Frequently asked questions
- What is Kelly Jackson's NPI number?
- Kelly Jackson's National Provider Identifier (NPI) is 1831582204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly Jackson?
- Kelly Jackson is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Jackson located?
- Kelly Jackson's practice location on file with NPPES is 9345 E Voltaire Ave, Scottsdale, AZ 85260-7432.
- What is Kelly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Jackson is (214) 227-2457.
- Who is the authorized official for Kelly Jackson?
- The authorized official listed on Kelly Jackson's NPPES record is Kelly Jackson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly Jackson's NPI active?
- Yes — Kelly Jackson's NPI (1831582204) is active in the NPPES registry as of the last update on 2015-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.