JACQUELYN WEBSTER (NP) – Obstetrics & Gynecology Nurse Practitioner, NPI 1124181722

JACQUELYN WEBSTER (NP) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN85512 (NV). The NPI Number for JACQUELYN WEBSTER (NP) is 1124181722

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYN WEBSTER (NP)
NPI
1124181722
Phone
(702) 579-3272
Address
PO BOX 15645
Enumeration Date
18 December 2006
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028523112
Graduation Year
2003 (23 years ago)
PAC ID
8921008509
Group Practice PAC ID
9537427323
Professional Enrollment ID
I20160120001327
Address ID
NV890747178HE9053XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

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Provider Addresses for JACQUELYN WEBSTER (NP)

  • PO BOX 15645

    LAS VEGAS, NV 891145645

    Phone: (702) 579-3272

    Type: Mailing

  • 2845, Siena Heights Drive, Henderson, Clark County, Nevada, 89052, United States

    STE. 2100

    HENDERSON, NV 890524153

    Phone: (702) 492-4896

    Type: Location

  • 2600 S DECATUR BLVD

    LAS VEGAS, NV 891028519

    Phone: (702) 877-5199

    Type: Location

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $589.

Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Exeltis, USA Inc. ($142).

Total Amount

$589

General + Research + Ownership

Payments

5

Total payment records

General Amount

$589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-01-20

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
I20160120001327INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1919$0
View full utilization report →

Insurance plans in this area (ZIP 89114)

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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: 9537427323View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNV

Reviews

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Frequently asked questions

Does JACQUELYN WEBSTER (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JACQUELYN WEBSTER (NP) uses 1124181722.
Does CMS list JACQUELYN WEBSTER (NP) as active?
Yes — JACQUELYN WEBSTER (NP) is active in the NPI listing used on this page.
What is JACQUELYN WEBSTER (NP)'s specialty?
The listing groups JACQUELYN WEBSTER (NP) with Obstetrics & Gynecology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect JACQUELYN WEBSTER (NP) on a map?
Expect Las Vegas, Nevada as a primary anchor for JACQUELYN WEBSTER (NP) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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