JACLYN T O'CONNOR FNP-BC
NPI 1912761438
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Jaclyn O'connor's NPI number?

The NPI number for Jaclyn O'connor is 1912761438. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Q: What is Jaclyn O'connor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn O'connor was last updated on July 8, 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 06, 2024PECOS EnrolledAccepts Medicare Assignment

4490 N RANCHO DR, LAS VEGAS, NV 89130(702) 655-0550(702) 655-0545 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, Jun 18, 2024, Feb 6, 2024 (3 updates tracked since 2024).

On this page

About Jaclyn T O'connor Fnp-bc NPPES

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

JACLYN T O'CONNOR FNP-BC (NPI 1912761438) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (811853) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912761438

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACLYN T O'CONNORCredential: FNP-BC

Location Address4490 N RANCHO DRLas Vegas, NV 89130-3406

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883

Phone(702) 655-0550

Fax(702) 655-0545

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 6, 2024

Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1912761438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · 811853

4490 N RANCHO DR, Las Vegas, NV 89130

Open in Google Maps ↗

Other Identifiers 2

Medicaid1912761438NV

Other811853NV · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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 T O'connor Fnp-bc 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 ID1850833294

PECOS Enrollment IDI20240612004325

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 Reassignment

Medicare enrollment records show Jaclyn O'connor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intermountain Medical Holdings Nevada Inc

19 mi

Internal Medicine

595 W LAKE MEAD PKWY
Henderson, NV 89015

Reassigned Medicare billing, Nevada enrollment
521 clinicians in this Medicare group

NPI 1245997279 (702) 566-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89130 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.

Other Providers at the Same Location NPPES 8

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

RAHUL DEVROY MD

Internal Medicine