JAY PETER LAO (NP) – Gerontology Nurse Practitioner, NPI 1265920607

JAY PETER LAO (NP) is a healthcare provider. based in Elk grove, California. specializing in Gerontology Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 722087 (CA). The NPI Number for JAY PETER LAO (NP) is 1265920607

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JAY PETER LAO (NP)
NPI
1265920607
Phone
(702) 743-6863
Address
9623 RED CURRENT WAY
Enumeration Date
1 May 2018
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757484826
Graduation Year
2017 (9 years ago)
PAC ID
7012264070
Group Practice PAC ID
7214822030
Professional Enrollment ID
I20181118000004
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:8State licenses:4Digital endpointsOther names

Provider Addresses for JAY PETER LAO (NP)

  • 9623 RED CURRENT WAY

    ELK GROVE, CA 957578373

    Phone: (702) 743-6863

    Type: Mailing

  • 9623 Red Current Way

    Elk Grove, CA 957578373

    Phone: (702) 743-6863

    Type: Location

  • 1505 53RD AVE E

    BRADENTON, FL 342034249

    Phone: (941) 357-7950

    Fax: (941) 840-1003

    Type: Mailing

  • 10150 HIGHLAND MANOR DR STE 240

    TAMPA, FL 336109750

    Phone: (813) 259-1013

    Fax: (813) 254-0396

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220315002285INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7863$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes6851$0
99493Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes2525$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1313$0
View full utilization report →

Insurance plans in this area (ZIP 95757)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214822030View full group profile
NameSpecialtyState
Family PracticeNV
Physician AssistantNV
Physician AssistantID
Physician AssistantCO
Family Practice, Sports MedicineWY
Nurse PractitionerNV
Nurse PractitionerUT
Family PracticeNE
Family PracticeNV
Nurse PractitionerNM

Reviews

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Frequently asked questions

How do payers reference JAY PETER LAO (NP)?
For JAY PETER LAO (NP), use NPI 1265920607 as the unique 10-digit identifier.
Is there an active status for JAY PETER LAO (NP)?
For scheduling context, JAY PETER LAO (NP) is shown as active in the registry.
What clinical focus is listed for JAY PETER LAO (NP)?
At a glance, JAY PETER LAO (NP) is tied to Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JAY PETER LAO (NP) located near Elk Grove?
JAY PETER LAO (NP) currently maps to Elk Grove, California in this extract.
Does JAY PETER LAO (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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