JACLYN MCCOY
NPI 1831875152
Physician Assistant in Albuquerque, NM

Q: What is Jaclyn Mccoy's NPI number?

The NPI number for Jaclyn Mccoy is 1831875152. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Q: What is Jaclyn Mccoy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Mccoy was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 22, 2023PECOS EnrolledAccepts Medicare Assignment

4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109(505) 727-7800 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Dec 12, 2024, Jun 22, 2023 (3 updates tracked since 2023).

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About Jaclyn Mccoy NPPES

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

JACLYN MCCOY (NPI 1831875152) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2024-0144) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831875152

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACLYN MCCOY

Location Address4701 MONTGOMERY BLVD NEAlbuquerque, NM 87109-1219

Mailing Address12127b N State Hwy 14 Ste 5Cedar Crest, NM 87008-9557 · (505) 944-9495

Phone(505) 727-7800

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJune 22, 2023

Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1831875152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NM · PA2024-0144

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4701 MONTGOMERY BLVD NE, Albuquerque, NM 87109

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Other Identifiers 1

OtherPA2024-0144NM · State License

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

Jaclyn Mccoy 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 ID547781742

PECOS Enrollment IDI20250304002771

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 2

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM

3/5 CMS rating

OwnershipProprietary

CMS Certification Number320009

Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County

Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320017

Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

Most-billed visit code 99213

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.

JACQUELYN A BLACKSTONE DO

Obstetrics & Gynecology (Maternal & Fetal Medicine)