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MRS. JASMINA SANTOS FORNBACHER APRN
NPI 1164901245
Nurse Practitioner - Adult Health in Las Vegas, NV

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7325 S PECOS RD STE 102, LAS VEGAS, NV 89120(702) 982-6402(702) 202-0674 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2019, Feb 10, 2019, Aug 9, 2018 (3 updates tracked since 2018).

About Mrs. Jasmina Santos Fornbacher Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JASMINA SANTOS FORNBACHER APRN (NPI 1164901245) is an individual adult health provider in Las Vegas, Nevada, licensed in Nevada (812066) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164901245
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. JASMINA SANTOS FORNBACHERCredential: APRN
Location Address7325 S PECOS RD STE 102Las Vegas, NV 89120-3768
Mailing Address7325 S Pecos Rd Ste 102Las Vegas, NV 89120-3768 · (702) 982-6402 · Fax (702) 202-0674
Phone(702) 982-6402
Fax(702) 202-0674
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 9, 2018
Last NPPES UpdateMarch 18, 20193 updates tracked since enumeration
✔ NPI 1164901245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NV · 812066
7325 S PECOS RD STE 102, Las Vegas, NV 89120
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jasmina Santos Fornbacher Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355694746
PECOS Enrollment IDI20190405000725
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
489 services169 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
14 services11 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims25 services$6.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA MACASPAC APRN
Nurse Practitioner (Family)
7325 S PECOS RD STE 102
LAS VEGAS, NV 89120
Clark County (702) 982-6402
LAURA ANGELA P. SABEROLA FNP-C
Nurse Practitioner (Family)
7325 S PECOS RD STE 102
LAS VEGAS, NV 89120
Clark County (702) 982-6402
MRS. KELSEY NICOLE RUSSELL NP
Nurse Practitioner (Family)
7325 S PECOS RD STE 102
LAS VEGAS, NV 89120
Clark County (702) 982-6402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasmina Fornbacher's NPI number?

The NPI number for Jasmina Fornbacher is 1164901245. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Jasmina Fornbacher located?

Jasmina Fornbacher practices at 7325 S Pecos Rd Ste 102, Las Vegas, NV 89120. The listed phone number is (702) 982-6402.

What is Jasmina Fornbacher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jasmina Fornbacher enrolled in Medicare?

Yes. Jasmina Fornbacher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jasmina Fornbacher accept?

Health plans from Ambetter from Arizona Complete Health list Jasmina Fornbacher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jasmina Fornbacher was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.