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JACLYN MATSUURA
NPI 1386107761
Emergency Medicine in Las Vegas, NV

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 382-1958 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Aug 5, 2022, Apr 11, 2019 (3 updates tracked since 2019).

About Jaclyn Matsuura NPPES

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

JACLYN MATSUURA (NPI 1386107761) is an individual emergency medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3044) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, and maintains a secondary practice location in Placentia.

NPPES Registry Identity

NPI1386107761
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJACLYN MATSUURA
Location Address1800 W CHARLESTON BLVDLas Vegas, NV 89102-2329
Mailing Address1800 W Charleston BlvdLas Vegas, NV 89102-2329 · (702) 383-2000
Phone(702) 382-1958
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2019
Enumeration DateApril 11, 2019
Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1386107761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NV · DO3044
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1800 W CHARLESTON BLVD, Las Vegas, NV 89102
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 N Rose DrPlacentia, CA 92870-3802 · Phone (714) 993-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Matsuura 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 ID7012391808
PECOS Enrollment IDI20220829000100
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 Reassignments

3

Medicare enrollment records show Jaclyn Matsuura reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Center Of Southern Nevada
Same address
General Acute Care Hospital
1800 W. CHARLESTON BLVD.
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 522 clinicians in this Medicare group
NPI 1548393127 (702) 383-2000
Vituity-Nevada Medical Services Koury & Partners PC
2.5 mi
Emergency Medicine
4980 W SAHARA AVE STE 100
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • 100 clinicians in this Medicare group
NPI 1417797275 (702) 216-7365
Sound Physicians Emergency Medicine Of Nevada Bessler PLLC
340 mi
Emergency Medicine
2375 E PRATER WAY
Sparks, NV 89434
  • Reassigned Medicare billing, Nevada enrollment
  • 117 clinicians in this Medicare group
NPI 1881151231 (775) 331-7000

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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
269 services261 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
157 services152 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
84 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services44 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Rose Dominican Hospitals - Rose De Lima

Acute Care Hospitals · Henderson, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number290012
Location102 E Lake Mead DrHenderson, NV 89015 · Clark County
Emergency services

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - San Martin Campus

Acute Care Hospitals · Las Vegas, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290053
Location8280 W Warm Springs RoadLas Vegas, NV 89113 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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 20

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

MICHAEL M LEE MD
Internal Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 921-6823
DR. ALAN MICHAEL ZETO JR. MD
Family Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 207-8263
DR. ADAM MCLEAN MURRAY MD
Student in an Organized Health Care Education/Training Program
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 671-2385
YOUNG SUK SONG M.D.
Radiology (Diagnostic Radiology)
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 383-2000
EMERGENCY MEDICINE PHYSICIANS OF CLARK PEDIATRICS MCCOURT, PLLC
Emergency Medicine
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 383-2085
LORI NICOLE WATSON RD
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (405) 863-7068
GABRIELA AGUIRRE RD
Dietitian, Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 383-0000
GIAN FULE CRNA
Nurse Anesthetist, Certified Registered
1800 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 383-2000

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 Jaclyn Matsuura's NPI number?

The NPI number for Jaclyn Matsuura is 1386107761. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Jaclyn Matsuura located?

Jaclyn Matsuura practices at 1800 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 382-1958.

What is Jaclyn Matsuura's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jaclyn Matsuura enrolled in Medicare?

Yes. Jaclyn Matsuura 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.

Which organizations bill Medicare for Jaclyn Matsuura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Matsuura reassigns Medicare benefits to 3 organizations: University Medical Center Of Southern Nevada (Las Vegas, NV), Vituity-Nevada Medical Services Koury & Partners PC (Las Vegas, NV) and Sound Physicians Emergency Medicine Of Nevada Bessler PLLC (Sparks, NV). Each 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 Jaclyn Matsuura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jaclyn Matsuura affiliated with any hospitals?

According to CMS data, Jaclyn Matsuura is affiliated with Saint Rose Dominican Hospitals - Rose De Lima, Saint Rose Dominican Hospitals - Siena Campus and Saint Rose Dominican Hospitals - San Martin Campus.

When was this NPI record last updated?

The NPPES record for Jaclyn Matsuura was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.