JACQUELYN CHRISTINE O'CONNOR – Certified Registered Nurse Anesthetist, NPI 1114598729

Certified Registered Nurse Anesthetist

JACQUELYN CHRISTINE O'CONNOR is a healthcare provider. based in Davie, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN9391216 (FL). The NPI Number for JACQUELYN CHRISTINE O'CONNOR is 1114598729

Main info

Female

4 Years Of Experience

Accepts Medicare Assignment

Name

JACQUELYN CHRISTINE O'CONNOR

NPI

1114598729

Phone

(954) 295-9699

Address

1000 SW 110TH TER

Enumeration Date

6 July 2021

Last Update Date

8 February 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9542655339

Graduation Year

2022 (4 years ago)

PAC ID

6901279413

Group Practice PAC ID

3173429693

Professional Enrollment ID

I20230303001498

Address ID

FL330215421HO3501XSTXX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience41

Completeness75

Years active:4State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for JACQUELYN CHRISTINE O'CONNOR

1000 SW 110TH TER
DAVIE, FL 333244120
Phone: (954) 295-9699
Type: Mailing
4300 ALTON RD
MIAMI BEACH, FL 331402948
Phone: (305) 674-2387
Type: Location

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: 2023-03-03

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20230303001498	I	Certified Registered Nurse Anesthetist (Crna)	FL	TBD

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00811	Anesthesia for other procedure on large bowel using an endoscope	14	14	$0

View full utilization report →

Insurance plans in this area (ZIP 33324)

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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: 3173429693View full group profile

Name	Specialty	State
MRS. HOPE HALSTEAD WEBB (CRNA)	Certified Registered Nurse Anesthetist (Crna)	FL
PAULA RAMSAY (CRNA)	Certified Registered Nurse Anesthetist (Crna)	FL
VELDA M. VANDLING (CRNA)	-	FL
EMIL I. MICHAELS (MD)	A N E S T H E S I O L O G Y	FL
Unknown Individual	-	FL
JOHANNA IRIZARRY (CRNA)	Certified Registered Nurse Anesthetist (Crna)	FL
DR. JEREMY MICHAEL SEGAL (M.D.)	-	FL
PREETI SHETH HAWALDAR (MD)	A N E S T H E S I O L O G Y	FL
ADAM MILLIGAN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	FL
MR. STEVEN STANLEY WALTHER (CRNA)	-	FL

Reviews

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Frequently asked questions

Does JACQUELYN CHRISTINE O'CONNOR share an NPI with anyone else?

NPI numbers are unique to each provider or organization — JACQUELYN CHRISTINE O'CONNOR uses 1114598729.

Can I rely on JACQUELYN CHRISTINE O'CONNOR being an active provider?

As of the registry snapshot, JACQUELYN CHRISTINE O'CONNOR is marked active.

What is JACQUELYN CHRISTINE O'CONNOR's primary classification?

Certified Registered Nurse Anesthetist is the headline specialty for JACQUELYN CHRISTINE O'CONNOR here. Clinical services aligned with this taxonomy classification.

Where should I expect JACQUELYN CHRISTINE O'CONNOR on a map?

Expect Davie, Florida as a primary anchor for JACQUELYN CHRISTINE O'CONNOR unless the record lists multiple sites.

Why does JACQUELYN CHRISTINE O'CONNOR have multiple addresses?

3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.