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

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: August 02, 2026.

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

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
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

Other Identifiers 2

Medicaid1912761438NV
Other811853NV · 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 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.

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.

Internal Medicine
4490 N RANCHO DR
LAS VEGAS, NV 89130
Nurse Practitioner (Family)
4490 N RANCHO DR
LAS VEGAS, NV 89130
Nurse Practitioner
4490 N RANCHO DR
LAS VEGAS, NV 89130
Family Medicine
4490 N RANCHO DR
LAS VEGAS, NV 89130
Family Medicine
4490 N RANCHO DR
LAS VEGAS, NV 89130
Nurse Practitioner (Family)
4490 N RANCHO DR
LAS VEGAS, NV 89130
Nurse Practitioner
4490 N RANCHO DR
LAS VEGAS, NV 89130
Nurse Practitioner (Family)
4490 N RANCHO DR
LAS VEGAS, NV 89130

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 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.

Where is Jaclyn O'connor located?

Jaclyn O'connor practices at 4490 N Rancho Dr, Las Vegas, NV 89130. The listed phone number is (702) 655-0550.

What is Jaclyn O'connor's specialty?

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

Is Jaclyn O'connor enrolled in Medicare?

Yes. Jaclyn O'connor 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.

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.