Jacob Connelly
NPI 1790147593 · Family Nurse Practitioner · Los Alamos, NM
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Connelly is a Family Nurse Practitioner provider in Los Alamos, NM (NPI 1790147593).
Provider details
- NPI number
- 1790147593
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN 9409391 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 737 Cape Coral Pkwy ECape Coral, FL 33904-8551Phone: (239) 542-0512
- 8291 Dani Dr Ste 100Fort Myers, FL 33966-8021Phone: (239) 931-6049
Registry dates
- Enumerated
- 2016-03-22
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Frequently asked questions
- What is Jacob Connelly's NPI number?
- Jacob Connelly's National Provider Identifier (NPI) is 1790147593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Connelly's specialty?
- Jacob Connelly is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Connelly located?
- Jacob Connelly's practice location on file with NPPES is 3917 West Rd Ste A3917, Los Alamos, NM 87544-2275.
- What is Jacob Connelly's phone number?
- The practice phone number listed in the NPPES registry for Jacob Connelly is (505) 661-8959.
- Does Jacob Connelly accept Medicare?
- Jacob Connelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Connelly's NPI active?
- Yes — Jacob Connelly's NPI (1790147593) is active in the NPPES registry as of the last update on 2025-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.