JEANELLE NOCON-SPECK PMHNP-BC
NPI 1366193138
Nurse Practitioner - Psychiatric/Mental Health in Rialto, CA

Q: What is Jeanelle Nocon-speck's NPI number?

The NPI number for Jeanelle Nocon-speck is 1366193138. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Q: What is Jeanelle Nocon-speck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since January 13, 2022PECOS EnrolledAccepts Medicare Assignment

850 E FOOTHILL BLVD, RIALTO, CA 92376(909) 421-9301 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2025, Nov 14, 2023, Jan 13, 2022 (3 updates tracked since 2022).

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About Jeanelle Nocon-speck Pmhnp-bc NPPES

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

JEANELLE NOCON-SPECK PMHNP-BC (NPI 1366193138) is an individual psychiatric/mental health provider in Rialto, California, licensed in California (95027427) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366193138

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJEANELLE NOCON-SPECKCredential: PMHNP-BC

Location Address850 E FOOTHILL BLVDRialto, CA 92376-5230

Mailing Address850 E Foothill BlvdRialto, CA 92376-5230 · (909) 421-9301

Phone(909) 421-9301

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 13, 2022

Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2025

✔ NPI 1366193138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95027427

Also ListedRegistered NurseTaxonomy 163W00000X · License 95149929 (CA)

850 E FOOTHILL BLVD, Rialto, CA 92376

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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 and accepts Medicare assignment

Jeanelle Nocon-speck Pmhnp-bc 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 ID3274058698

PECOS Enrollment IDI20250418000224

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 92376 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 20

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

ROSE VERSACE MFT

Marriage & Family Therapist