JACQUELINE SARAGOSA APRN
NPI 1174036214
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Jacqueline Saragosa's NPI number?

The NPI number for Jacqueline Saragosa is 1174036214. It was assigned to this individual provider in the NPPES registry on November 12, 2017.

Q: What is Jacqueline Saragosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 12, 2017PECOS Enrolled

2004 S JONES BLVD, LAS VEGAS, NV 89146(702) 463-3631(702) 331-7343 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2022, Nov 12, 2017 (2 updates tracked since 2017).

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About Jacqueline Saragosa Aprn NPPES

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

JACQUELINE SARAGOSA APRN (NPI 1174036214) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (APRN002691) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174036214

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE SARAGOSACredential: APRN

Location Address2004 S JONES BLVDLas Vegas, NV 89146-3151

Mailing Address541 Signal Peak StLas Vegas, NV 89138-1548 · (702) 308-8500

Phone(702) 463-3631

Fax(702) 331-7343

Sole ProprietorNo

Enumeration DateNovember 12, 2017

Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration

NPPES CertifiedDecember 14, 2022

✔ NPI 1174036214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · APRN002691

2004 S JONES BLVD, Las Vegas, NV 89146

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Saragosa Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89146 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.

Other Providers at the Same Location NPPES 6

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

EVERSIDE HEALTH, LLC

Clinic/Center (Primary Care)