DR. JACKLINE B NGALAME PMHNP
NPI 1861869703
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Jackline Ngalame's NPI number?

The NPI number for Jackline Ngalame is 1861869703. It was assigned to this individual provider in the NPPES registry on August 26, 2015. The provider is also known as Dr. Jackline B Tabe -Ayuk Dnp, Fnp-C, Pmhnp-Bc.

Q: What is Jackline Ngalame's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jackline Ngalame was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 26, 2015PECOS EnrolledAccepts Medicare Assignment

10409 PACIFIC PALISADES AVE, LAS VEGAS, NV 89144(702) 281-8941(440) 597-4344 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2019, Jan 8, 2019, Sep 2, 2018 and 4 more (7 updates tracked since 2016).

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About Dr. Jackline B Ngalame Pmhnp NPPES

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

DR. JACKLINE B NGALAME PMHNP (NPI 1861869703) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (839166) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861869703

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. JACKLINE B NGALAMECredential: PMHNP

Location Address10409 PACIFIC PALISADES AVELas Vegas, NV 89144-1221

Mailing Address10409 Pacific Palisades AveLas Vegas, NV 89144-1221 · (702) 281-8941 · Fax (440) 597-4344

Phone(702) 281-8941

Fax(440) 597-4344

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 26, 2015

Last NPPES UpdateOctober 13, 20257 updates tracked since enumeration

NPPES CertifiedOctober 13, 2025

✔ NPI 1861869703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NV · 839166✔ Licensed in KS · 53-78727-072✔ Licensed in NY · 402559✔ Licensed in WA · AP60741863✔ Licensed in FL · APRN11018101✔ Licensed in MN · 9142

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 343912 (NY)

10409 PACIFIC PALISADES AVE, Las Vegas, NV 89144

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Other Names 1

Former Name (1)Dr. Jackline B Tabe -ayuk Dnp, Fnp-c, Pmhnp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Providence Health Plan, UnitedHealthcare.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

Dr. Jackline B Ngalame Pmhnp 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 ID4688979842

PECOS Enrollment IDI20220204001568

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.

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330197

Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89144 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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Other Providers at the Same Location NPPES 7

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

NGALAME EMPOWER PSYCHIATRY, PLLC

Nurse Practitioner (Psychiatric/Mental Health)