Jacob Connelly, in Los Alamos, NM - Medicare Nurse Practitioner

Jacob Connelly, is a medicare enrolled "Nurse Practitioner - Family" in Los Alamos, New Mexico. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 3917 West Rd Ste A3917, Los Alamos, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 661-8959.

Jacob Connelly is licensed to practice in Florida (license number 11005429) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 Name	Jacob Connelly
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	3917 West Rd Ste A3917, Los Alamos, New Mexico
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Connelly graduated from nursing school in 2019

NPI Data:

NPI Number: 1790147593
Provider Enumeration Date: 03/22/2016
Last Update Date: 08/26/2025

Medicare PECOS Information:

PECOS PAC ID: 5395164933
Enrollment ID: I20250903000037

Medical Identifiers

Medical identifiers for Jacob Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790147593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN 9409391 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	11005429 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Los Alamos Medical Center	Los alamos, NM	Hospital

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 enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice 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: Accepting Medicare Assignments 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, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd, Los Alamos, NM 87544 Phone: 505-353-2375

Jacob Connelly, - Medicare Nurse Practitioner in Los Alamos, NM