Keely Jackson
Contractor • North Platte, NE
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Keely Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Keely Jackson was a registered Contractor practicing in North Platte, NE. Throughout an active medical career spanning 1 years, Keely Jackson provided care at the practice location at 1920 W 18TH ST until profile deactivation on 2026-04-16.
Practice Location & Contact Primary Location
1920 W 18th St
North Platte, NE 691012179
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in North Platte, NE
Practicing in North Platte, NE (272 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 16, 2026
NPI status registered as active in NPPES database
Registered at 1920 W 18TH ST, NORTH PLATTE, NE 691012179 (Tel: 3086603763)
Registered at 1920 W 18TH ST, NORTH PLATTE, NE 691012179 (Tel: 3086603763)
Recorded as KEELY JACKSON
Contractor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1920 W 18th St
North Platte, NE 691012179
Phone: 3086603763
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.