MRS. JACLYN PRELL PMHNP
NPI 1699588475
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Active since January 27, 2025Opted out of Medicare · through Nov 6, 2027
10655 PARK RUN DR STE 210, LAS VEGAS, NV 89144(702) 375-3668 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jaclyn Prell Pmhnp NPPES

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

MRS. JACLYN PRELL PMHNP (NPI 1699588475) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (886841) and active in the NPI registry since January 2025. She has opted out of Medicare through November 6, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699588475
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JACLYN PRELLCredential: PMHNP
Location Address10655 PARK RUN DR STE 210Las Vegas, NV 89144-4590
Mailing Address2009 Marble Gorge DrLas Vegas, NV 89117-5955 · (702) 375-3668
Sole ProprietorYes
Enumeration DateJanuary 27, 2025
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
NPI 1699588475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NV · 886841
10655 PARK RUN DR STE 210, Las Vegas, NV 89144

Secondary Practice Locations 2

Location 12009 Marble Gorge DrLas Vegas, NV 89117-5955 · Phone (702) 375-3668
Location 27930 W Sahara AveLas Vegas, NV 89117-1990 · Phone (702) 375-3668

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Jaclyn Prell Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 6, 2025 through November 6, 2027.

Opt-Out Effective DateNovember 6, 2025
Opt-Out In Effect ThroughNovember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Clinic/Center (Adult Mental Health)
10655 PARK RUN DR STE 210
LAS VEGAS, NV 89144
Counselor (Mental Health)
10655 PARK RUN DR STE 210
LAS VEGAS, NV 89144
Marriage & Family Therapist
10655 PARK RUN DR STE 210
LAS VEGAS, NV 89144
Counselor (Mental Health)
10655 PARK RUN DR STE 210
LAS VEGAS, NV 89144
Counselor (Professional)
10655 PARK RUN DR STE 210
LAS VEGAS, NV 89144
Marriage & Family Therapist
10655 PARK RUN DR STE 210
LAS VEGAS, NV 89144
Marriage & Family Therapist
10655 PARK RUN DR STE 210
LAS VEGAS, NV 89144
Marriage & Family Therapist
10655 PARK RUN DR STE 210
LAS VEGAS, NV 89144

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 Prell's NPI number?

The NPI number for Jaclyn Prell is 1699588475. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Jaclyn Prell located?

Jaclyn Prell practices at 10655 Park Run Dr Ste 210, Las Vegas, NV 89144. The listed phone number is (702) 375-3668.

What is Jaclyn Prell's specialty?

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

Is Jaclyn Prell enrolled in Medicare?

No. Jaclyn Prell has opted out of Medicare through November 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jaclyn Prell was last updated on February 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.