JACQUELINE FORNELLI DNP, FNP-C
NPI 1265029912
Nurse Practitioner in Joplin, MO

Active since December 29, 2020PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
932 E 34TH ST, JOPLIN, MO 64804(417) 347-8310 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2022, May 12, 2021, Dec 29, 2020 (3 updates tracked since 2020).

About Jacqueline Fornelli Dnp, Fnp-c NPPES

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

JACQUELINE FORNELLI DNP, FNP-C (NPI 1265029912) is an individual nurse practitioner in Joplin, Missouri, licensed in Missouri (2020036180) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265029912
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELINE FORNELLICredential: DNP, FNP-C
Location Address932 E 34TH STJoplin, MO 64804-3932
Mailing AddressPo Box 3810Joplin, MO 64803-3810
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 29, 2020
Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
NPI 1265029912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2020036180
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

932 E 34TH ST, Joplin, MO 64804

Accepted 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

Jacqueline Fornelli Dnp, Fnp-c 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 ID3678986569
PECOS Enrollment IDI20210114000964, I20221025000371
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 3

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.
176 services139 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services34 patients
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420
This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170006
Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County
Emergency services Birthing friendly

Girard Medical Center

Critical Access Hospitals · Girard, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171376
Location302 North Hospital DriveGirard, KS 66743 · Crawford County
Emergency services

Nevada Regional Medical Center

Acute Care Hospitals · Nevada, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260061
Location800 S Ash StNevada, MO 64772 · Vernon County
Emergency services

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Cox Barton County Hospital

Critical Access Hospitals · Lamar, MO
OwnershipGovernment - Local
CMS Certification Number261325
Location29 NW 1st LaneLamar, MO 64759 · Barton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.55
Improvement Activities40
Cost58.46

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Nephrology)
932 E 34TH ST, SUITE 1
JOPLIN, MO 64804
Psychiatry & Neurology (Psychiatry)
932 E 34TH ST
JOPLIN, MO 64804
Psychiatry & Neurology (Psychiatry)
932 E 34TH ST
JOPLIN, MO 64804
Psychiatric Unit
932 E 34TH ST
JOPLIN, MO 64804
Rehabilitation Unit
932 E 34TH ST
JOPLIN, MO 64804
Speech-Language Pathologist
932 E 34TH ST
JOPLIN, MO 64804
Physical Medicine & Rehabilitation
932 E 34TH ST
JOPLIN, MO 64804
Psychiatry & Neurology (Psychiatry)
932 E 34TH ST
JOPLIN, MO 64804

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 Jacqueline Fornelli's NPI number?

The NPI number for Jacqueline Fornelli is 1265029912. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Where is Jacqueline Fornelli located?

Jacqueline Fornelli practices at 932 E 34th St, Joplin, MO 64804. The listed phone number is (417) 347-8310.

What is Jacqueline Fornelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacqueline Fornelli enrolled in Medicare?

Yes. Jacqueline Fornelli 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 Jacqueline Fornelli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Jacqueline Fornelli 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.

Is Jacqueline Fornelli affiliated with any hospitals?

According to CMS data, Jacqueline Fornelli is affiliated with Via Christi Hospital Pittsburg Inc, Girard Medical Center, Nevada Regional Medical Center, Freeman Health System - Freeman West and Cox Barton County Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Fornelli was last updated on September 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.