HANNAH JACQUES (APRN) – Family Nurse Practitioner, NPI 1063301406

HANNAH JACQUES (APRN) is a healthcare provider. based in Reno, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 818078 (NV). The NPI Number for HANNAH JACQUES (APRN) is 1063301406

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
HANNAH JACQUES (APRN)
NPI
1063301406
Phone
(775) 689-5410
Address
605 SIERRA ROSE DR STE 4
Enumeration Date
1 July 2025
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7756895410
Graduation Year
2025 (1 year ago)
PAC ID
0143720227
Group Practice PAC ID
9638177058
Professional Enrollment ID
I20250822003113
Address ID
NV895112093RE605XXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for HANNAH JACQUES (APRN)

  • 605 SIERRA ROSE DR STE 4

    RENO, NV 895112093

    Phone: (775) 689-5410

    Fax: (775) 451-1713

    Mailing address matches the actual address.

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: 2025-08-22

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
I20250822003113INurse PractitionerNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89511)

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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: 9638177058View full group profile
NameSpecialtyState
Pain ManagementNV
Nurse PractitionerNV
Physician AssistantNV
-NV
Physician AssistantNV
Physician AssistantNV
Nurse PractitionerNV
Interventional Pain Management, AnesthesiologyNV
Physical Therapist In Private PracticeNV
Anesthesiology, Pain ManagementNV

Reviews

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Frequently asked questions

Can I cross-check HANNAH JACQUES (APRN) using NPI 1063301406?
NPI 1063301406 belongs to HANNAH JACQUES (APRN); compare other details if you need extra assurance.
Would HANNAH JACQUES (APRN) appear as active to a payer?
You can treat HANNAH JACQUES (APRN) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is HANNAH JACQUES (APRN)?
HANNAH JACQUES (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for HANNAH JACQUES (APRN)?
Travel planning: use Reno, Nevada as the reference point for HANNAH JACQUES (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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