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JANAE MIKEL O'CONNELL
NPI 1780459743
Nurse Practitioner - Family in Tobyhanna, PA

Active since November 20, 2023PECOS EnrolledAccepts Medicare Assignment
100 COMMUNITY DR STE 205, TOBYHANNA, PA 18466(570) 476-2700(570) 895-4332 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2024, Nov 20, 2023 (2 updates tracked since 2023).

About Janae Mikel O'connell NPPES

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

JANAE MIKEL O'CONNELL (NPI 1780459743) is an individual family provider in Tobyhanna, Pennsylvania, licensed in Pennsylvania (SP029308) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780459743
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJANAE MIKEL O'CONNELL
Location Address100 COMMUNITY DR STE 205Tobyhanna, PA 18466-8987
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 844-4500 · Fax (484) 884-0699
Phone(570) 476-2700
Fax(570) 895-4332
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 20, 2023
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1780459743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP029308
Also ListedRegistered NurseTaxonomy 163W00000X · License RN712050 (PA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP029308 (PA)
100 COMMUNITY DR STE 205, Tobyhanna, PA 18466
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Janae Mikel O'connell 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 ID1658717020
PECOS Enrollment IDI20240307001710
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

2

Medicare enrollment records show Janae O'connell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
Family Medicine
100 COMMUNITY DR STE 102
Tobyhanna, PA 18466
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1336902469 (570) 839-1400
Family Care Centers Inc
15 mi
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
NPI 1316409626 (570) 476-3700

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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
53 services53 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
21 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18466 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Janae O'connell's NPI number?

The NPI number for Janae O'connell is 1780459743. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Janae O'connell located?

Janae O'connell practices at 100 Community Dr Ste 205, Tobyhanna, PA 18466. The listed phone number is (570) 476-2700.

What is Janae O'connell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Janae O'connell enrolled in Medicare?

Yes. Janae O'connell 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 Janae O'connell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janae O'connell reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Tobyhanna, PA) and Family Care Centers Inc (East Stroudsburg, PA). 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 Janae O'connell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janae O'connell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Janae O'connell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Janae O'connell affiliated with any hospitals?

According to CMS data, Janae O'connell is affiliated with Lehigh Valley Hospital and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Janae O'connell was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.