JAQLYNN ANN PUENTE
NPI 1669187464
Nurse Practitioner in San Angelo, TX

Q: What is Jaqlynn Puente's NPI number?

The NPI number for Jaqlynn Puente is 1669187464. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Q: What is Jaqlynn Puente's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaqlynn Puente was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 17, 2023PECOS EnrolledAccepts Medicare Assignment

1610 S CHADBOURNE ST, SAN ANGELO, TX 76903(325) 658-5339(325) 223-1480 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2023, Jan 17, 2023 (2 updates tracked since 2023).

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About Jaqlynn Ann Puente NPPES

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

JAQLYNN ANN PUENTE (NPI 1669187464) is an individual nurse practitioner in San Angelo, Texas, licensed in Texas (1107557) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669187464

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJAQLYNN ANN PUENTE

Location Address1610 S CHADBOURNE STSan Angelo, TX 76903-8510

Mailing Address2029 W Beauregard AveSan Angelo, TX 76901-3812 · (325) 658-5339

Phone(325) 658-5339

Fax(325) 223-1480

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 17, 2023

Last NPPES UpdateApril 14, 20232 updates tracked since enumeration

NPPES CertifiedApril 14, 2023

✔ NPI 1669187464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1107557

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.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1107557 (TX)

1610 S CHADBOURNE ST, San Angelo, TX 76903

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Jaqlynn Ann Puente 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 ID7315305901

PECOS Enrollment IDI20230613003533

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.

Hospital Affiliations CMS Care Compare

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450571

Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 13

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

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