JACQUELINE O'CONNELL PNP-BC
NPI 1619219037
Nurse Practitioner - Pediatrics in Phoenix, AZ

Q: What is Jacqueline O'connell's NPI number?

The NPI number for Jacqueline O'connell is 1619219037. It was assigned to this individual provider in the NPPES registry on March 24, 2013.

Q: What is Jacqueline O'connell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since March 24, 2013PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1060(602) 933-8982 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2025, Feb 28, 2022, Jul 25, 2018 (3 updates tracked since 2018).

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About Jacqueline O'connell Pnp-bc NPPES

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

JACQUELINE O'CONNELL PNP-BC (NPI 1619219037) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AP11276) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619219037

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJACQUELINE O'CONNELLCredential: PNP-BC

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124

Phone(602) 933-1060

Fax(602) 933-8982

Sole ProprietorNo

Enumeration DateMarch 24, 2013

Last NPPES UpdateOctober 22, 20253 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1619219037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in AZ · AP11276

1919 E THOMAS RD, Phoenix, AZ 85016

Open in Google Maps ↗

Other Identifiers 1

Medicaid294024AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline O'connell Pnp-bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline O'connell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Hospital

Same address

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

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 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

DR. TIMUR RAGHIB M.D.

Hospitalist