Jacob Connelly
Family Nurse Practitioner · Los Alamos, NM
Jacob Connelly is a family nurse practitioner with a practice address in Los Alamos, New Mexico, and NPI 1790147593, issued on Mar 22, 2016. Check the license with the New Mexico board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jacob Connelly
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License numbers
- 11005429 FL
RN 9409391 FL
Self-reported in NPPES; status is on the state search - Practice location
- 3917 West RD Ste A3917, Los Alamos, NM 87544
- Phone
- (505) 661-8959
- Enumerated
- Mar 22, 2016
- Record last updated
- Aug 26, 2025
- Fax
- (505) 661-8916
- Medicare enrollment
- Enrolled (PECOS I20250903000037); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 1,642 in New Mexico → Look up another NPI →
Verify Jacob Connelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Mexico board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jacob Connelly among 1,642 family nurse practitioner records in New Mexico
Jacob Connelly is one of 1,642 family nurse practitioner records with a practice address in New Mexico. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2016, is newer than 40% of them.
- NPI issued2016 · 40% of these records are older, 55% newer
- In a Medicare fileNo · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2019 · median 2019 among the 1,049 with a school on file
- Record last updated2025 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 family nurse practitioner records list a practice address in Los Alamos
They are 13 of the 324 NPPES records with a practice address in Los Alamos, and 1,642 family nurse practitioner records in New Mexico. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,642 in New Mexico → Every provider in Los Alamos → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Gretchen Anderson, RN, CS, MS(N),FNPLos Alamos, NM 875441871563536
- Sharon Andreatta, CFNP.Los Alamos, NM 875441801921960
- Peggy Ickes, FNP-BCLos Alamos, NM 875441255681474
- Angela Minium, APRN-CNPLos Alamos, NM 875441083267363
- Usha Panthi, FNP-CLos Alamos, NM 875441396689030
- Leah Ramos, APRN-CNPLos Alamos, NM 875441962270249
- Janet Sandy, APRN-CNPLos Alamos, NM 875441205557113
- Karen Schneider, FNPLos Alamos, NM 875441740378546
Common questions
What is Jacob Connelly's NPI number?
Jacob Connelly's National Provider Identifier (NPI) is 1790147593, issued on Mar 22, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Connelly located?
The NPPES record lists a practice address at 3917 West RD Ste A3917, Los Alamos, NM, 87544. Phone: (505) 661-8959. Providers update this record themselves, so call before visiting.
How can I verify Jacob Connelly's license?
Search the New Mexico board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.