JACLYN THERESA CHANNELL AGACNP
NPI 1700419421
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Jaclyn Channell's NPI number?

The NPI number for Jaclyn Channell is 1700419421. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Q: What is Jaclyn Channell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Channell was last updated on March 26, 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.

Active since February 20, 2020PECOS EnrolledAccepts Medicare Assignment

221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 956-4525(214) 960-5681 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 28, 2022, Feb 20, 2020 (2 updates tracked since 2020).

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About Jaclyn Theresa Channell Agacnp NPPES

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

JACLYN THERESA CHANNELL AGACNP (NPI 1700419421) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP145190) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1700419421

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJACLYN THERESA CHANNELLCredential: AGACNP

Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312

Mailing Address5264 Katy Rose CtFort Worth, TX 76126-3053 · (817) 907-9467

Phone(214) 956-4525

Fax(214) 960-5681

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 20, 2020

Last NPPES UpdateMarch 26, 20242 updates tracked since enumeration

NPPES CertifiedMarch 26, 2024

✔ NPI 1700419421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP145190

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 792582 (TX)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP145190 (TX)

221 W COLORADO BLVD STE 525, Dallas, TX 75208

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Secondary Practice Location 1

Location 11400 8th AveFort Worth, TX 76104-4110 · Phone (817) 255-9977

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Theresa Channell Agacnp 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 ID6608297569

PECOS Enrollment IDI20200601001391

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

Medicare enrollment records show Jaclyn Channell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dallas Pulmonary & Critical Care PA

Same address

Critical Care Medicine

221 W COLORADO BLVD STE 525
Dallas, TX 75208

Reassigned Medicare billing, Texas enrollment
254 clinicians in this Medicare group

NPI 1235402728 (214) 960-5681

Healthtexas Provider Network

3.4 mi

Anesthesiology

3600 GASTON AVE STE 550
Dallas, TX 75246

Reassigned Medicare billing, Texas enrollment
3,167 clinicians in this Medicare group

NPI 1174416689 (214) 821-1177

Dfw Critical Care LLC

30 mi

Critical Care Medicine

1001 COLLEGE AVE, STE A
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
13 clinicians in this Medicare group

NPI 1184071771 (817) 336-6000

Hospitalist Medicine Physicians Of Texas, PLLC

211 mi

Internal Medicine

18951 N MEMORIAL DR
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
2,009 clinicians in this Medicare group

NPI 1629307095 (281) 540-7700

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 7

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.

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.

76 services53 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

28 services26 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

19 services17 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

17 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

15 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450137

Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

JACQUELINE NICOLE HORST M.D.

Internal Medicine (Pulmonary Disease)