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JACQUELYNE OMULO RN
NPI 1326625682
Nurse Practitioner in Commerce City, CO

Active since March 24, 2021PECOS Enrolled
9055 RIFLE ST, COMMERCE CITY, CO 80022(678) 438-1662 Get Directions Write a Review

NPPES record last updated: January 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 31, 2026, Jan 17, 2026, Mar 24, 2021 (3 updates tracked since 2021).

About Jacquelyne Omulo Rn NPPES

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

JACQUELYNE OMULO RN (NPI 1326625682) is an individual nurse practitioner in Commerce City, Colorado, licensed in Colorado (APN.1001598-NP) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326625682
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELYNE OMULOCredential: RN
Location Address9055 RIFLE STCommerce City, CO 80022-9165
Mailing Address9055 Rifle StCommerce City, CO 80022-9165 · (678) 438-1662
Phone(678) 438-1662
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 24, 2021
Last NPPES UpdateJanuary 31, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2026
✔ NPI 1326625682 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 CO · APN.1001598-NP
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.
9055 RIFLE ST, Commerce City, CO 80022
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyne Omulo Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476027525
PECOS Enrollment IDI20260630002813
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacquelyne Omulo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Button Family Practice PC
101 mi
Rural Health
715 SOUTH 9TH STREET
Canon City, CO 81212
  • Reassigned Medicare billing, Colorado enrollment
  • 9 clinicians in this Medicare group
NPI 1144269739 (719) 269-8820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80022 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 Jacquelyne Omulo's NPI number?

The NPI number for Jacquelyne Omulo is 1326625682. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Jacquelyne Omulo located?

Jacquelyne Omulo practices at 9055 Rifle St, Commerce City, CO 80022. The listed phone number is (678) 438-1662.

What is Jacquelyne Omulo's specialty?

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

Is Jacquelyne Omulo enrolled in Medicare?

Yes. Jacquelyne Omulo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacquelyne Omulo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyne Omulo reassigns Medicare benefits to Button Family Practice PC (Canon City, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyne Omulo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyne Omulo was last updated on January 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.