Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kelly Rose Jackson, WHCNP, CNM

Advanced Practice Midwife in West Linn, OR · enumerated 2022 · practices at MD Squared.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659083129

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Registry record

Entity type Individual (Type 1)

Name Kelly Rose Jackson

Credential WHCNP, CNM

Sex Female

Practice address West Linn, OR, 97068

Phone (503) 723-7234

Fax (503) 650-4464

Enumeration date Dec 15, 2022

Last updated in NPPES Dec 10, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 10002453 (OR) Secondary

367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers · License 10005243 (OR) Primary

CNM · Certified Nurse Midwife: An advanced practice nurse specializing in pregnancy, childbirth, and reproductive care. About the CNM credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kelly Jackson practice?

The practice location on file with NPPES is in West Linn, OR. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kelly Jackson?

The National Provider Identifier (NPI) for Kelly Jackson is 1659083129, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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MD Squared Medical Specialty Clinic/Center · West Linn, OR NPI 1285988444

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-10.