JACQUELYN VILLAGOMEZ DANESHFOROUZ (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1649728775
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for JACQUELYN VILLAGOMEZ DANESHFOROUZ (PHYSICIAN ASSISTANT)
2410 Fire Mesa St Ste 170
Las Vegas, NV 891289017
Phone: (702) 483-4483
Fax: (702) 430-6175
Type: Location
2863 Saint Rose Pkwy
Henderson, NV 890524806
Phone: (702) 483-4483
Fax: (702) 430-6175
Type: Location
2863 SAINT ROSE PKWY
HENDERSON, NV 890524806
Phone: (702) 483-4483
Fax: (702) 493-0357
Type: Mailing
West Sunset Road, Paradise, Clark County, Nevada, 89118, United States
LAS VEGAS, NV 89113
Phone: (702) 483-4483
Fax: (702) 483-4493
Type: Location
7305 HANOVER PKWY
GREENBELT, MD 207702030
Phone: (301) 982-7900
Fax: (301) 982-4465
Type: Mailing
7305 HANOVER PKWY STE A
GREENBELT, MD 207703665
Phone: (301) 982-7900
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 153 Open Payments records for all available years, with a total value of $5,441.
Total Amount is formed as General ($5,441) + Research ($0) + Ownership ($0) = $5,441.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: PFIZER INC. ($1,508).
Total Amount
$5,441
General + Research + Ownership
Payments
153
Total payment records
General Amount
$5,441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $1,508 |
| ABBVIE INC. | $924 |
| Takeda Pharmaceuticals U.S.A., Inc. | $457 |
| Ardelyx, Inc. | $373 |
| Janssen Biotech, Inc. | $369 |
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: 2023-08-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170214001313 | I | Physician Assistant | DC | TBD |
| I20180714000090 | I | Physician Assistant | NV | TBD |
| I20230830002563 | I | Physician Assistant | VA | 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.
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 |
|---|---|---|---|---|
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 121 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 73 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 77 | 18 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 89128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | NV | |
| Internal Medicine | NV | |
| Nurse Practitioner | NV | |
| Internal Medicine | MO | |
| G A S T R O E N T E R O L O G Y | NV | |
| Gastroenterology, Internal Medicine | NY | |
| Gastroenterology, Internal Medicine | NV | |
| Gastroenterology, Internal Medicine | NV | |
| Nurse Practitioner | NV | |
| Gastroenterology, Internal Medicine | NV |
Reviews
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