Jacob Connelly, - Nurse Practitioner in Los Alamos, NM

Jacob Connelly, is a Nurse Practitioner - Family based in Los Alamos, New Mexico. Jacob Connelly is licensed to practice in Florida (license number 11005429) and his current practice location is 3917 West Rd Ste A3917, Los Alamos, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 661-8959.

NPI number for Jacob Connelly is 1790147593 and his current mailing address is 3917 West Rd Ste A, Los Alamos, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790147593.

Contact Information

Jacob Connelly,
3917 West Rd Ste A3917,
Los Alamos, NM 87544-2275
(505) 661-8959
(505) 661-8916

Map and Direction




Provider's Profile

Full NameJacob Connelly
GenderMale
SpecialityNurse Practitioner - Family
Location3917 West Rd Ste A3917, Los Alamos, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790147593
  • Provider Enumeration Date: 03/22/2016
  • Last Update Date: 08/26/2025

Medical Identifiers

Medical identifiers for Jacob Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790147593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN 9409391 (Florida)Secondary
363LF0000XNurse Practitioner - Family 11005429 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Connelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Connelly,
3917 West Rd Ste A,
Los Alamos, NM 87544-2292

Ph: (505) 661-8959
Jacob Connelly,
3917 West Rd Ste A3917,
Los Alamos, NM 87544-2275

Ph: (505) 661-8959

Reviews and Comments


Nurse Practitioner Nurses in Los Alamos, NM

Angela Marie Minium, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 118 Central Park Sq, Los Alamos, NM 87544
Phone: 505-662-4798    
Laura K Merrigan, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3917 West Rd, Suite A, Los Alamos, NM 87544
Phone: 505-661-8991    Fax: 505-661-8916
Miss Jeanne Malchow, CNM/FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3917 West Rd, Suite 250, Los Alamos, NM 87544
Phone: 505-662-4412    Fax: 505-661-6536
Megan Mcguiness, MSN, APRN, PMNHP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2152 37th St Apt B, Los Alamos, NM 87544
Phone: 505-350-2654    
Augustina A Abbott, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3917 West Rd Ste A, Los Alamos, NM 87544
Phone: 505-661-8989    Fax: 505-661-8916
Clay Schneider, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3917 West Rd, Los Alamos, NM 87544
Phone: 505-500-8378    
Ila Evette Reed, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3917 West Rd, Los Alamos, NM 87544
Phone: 505-353-2375    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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