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Dr. Kelsey Jackson , MD

Pediatrics β€’ Columbus, OH

Active NPI 1982084976 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

700 Childrens Dr
Columbus, OH 432052664

Call 6147222000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

700 Childrens Dr

Columbus, OH 432052664

Telephone 6147222000
Organization at the Same NPPES Address or Phone
Pediatric Academic Association, Inc. Facility NPI 1063419943

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Columbus, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Pediatric Academic Association, Inc.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Tufts University School Of Medicine

Graduation Year

2015

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Columbus and Ohio

485 active clinicians are listed under Pediatrics with a practice address in Columbus, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

0.6% of these 485 clinicians have the CMS telehealth indicator.

7.6% of these 485 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 35.144896

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospitalist

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES OH 35.144896

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0481550 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPITALIST

Medicare Enrollment ID

I20220510002214

Enrollment State Jurisdiction

OH

PECOS Control ID

4486957354

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Pediatric Academic Association, Inc.

700 Children's Dr, Columbus, OH 432052664

Phone: 6147224579

Secondary Practice Locations

444 Butterfly Gardens Dr

Columbus, OH 432153427

Phone: 6147222000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Lynsey Diersing , RN

Nurse Practitioner - Family

NPI 1043744535

Registered Nurse

NPI 1003106154

Doctor of Medicine (M.D.)

Maria Streng

Nurse Practitioner - Pediatrics

NPI 1003309360

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2025

Hospitalist (license number reported to NPPES: OH 35.144896)

πŸ“
Updated Practice Location April 08, 2022

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147222000)

πŸ“
Updated Business Mailing Address April 08, 2022

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147222000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2022

Pediatrics (license number reported to NPPES: OH 35.144896)

πŸ“
Updated Practice Location June 25, 2018

Registered at 1406 6TH AVE N, SAINT CLOUD, MN 56303 (Tel: 3202294945)

πŸ“
Updated Business Mailing Address June 25, 2018

Registered at 1406 6TH AVE N, SAINT CLOUD, MN 563031900 (Tel: 3202294945)

πŸ‘€
Provider Name / Credentials Updated June 25, 2018

Recorded as KELSEY JACKSON, M.D.

βœ…
NPI Profile Active June 04, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 04, 2015

Registered at 5721 S MARYLAND AVE # MC8016, K155, CHICAGO, IL 606371425 (Tel: 7737027553)

πŸ“
Business Mailing Address (Initial Record) June 04, 2015

Registered at 5721 S MARYLAND AVE # MC8016, K155, CHICAGO, IL 606371425 (Tel: 7737027553)

πŸ‘€
Provider Name / Credentials (Initial Record) June 04, 2015

Recorded as KELSEY RENO, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2015

Pediatrics (license number reported to NPPES: IL 125066692)

🟒
Initial NPI Registration & Enumeration June 04, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982084976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2015
Last Update: May 19, 2025
Sole Proprietor: No

Other Pediatrics Specialists in Columbus

All Pediatrics Specialists in Columbus

Mailing Address

700 Childrens Dr

Columbus, OH 432052664

Phone: 6147222000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.