JESSICA GORGOGLIONE (APN-BC) – Nurse Practitioner, NPI 1679071617

JESSICA GORGOGLIONE (APN-BC) is a healthcare provider. based in Mesquite, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APN-BC. They hold a License No. 209.017090 (IL). The NPI Number for JESSICA GORGOGLIONE (APN-BC) is 1679071617

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA GORGOGLIONE (APN-BC)
NPI
1679071617
Phone
(702) 345-2122
Address
1301 BERTHA HOWE AVE STE 1
Enumeration Date
24 January 2018
Last Update Date
6 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356884600
Graduation Year
2017 (9 years ago)
PAC ID
0042648016
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20220907001509
Address ID
UT847902123ST1380XDRXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:8State licenses:3Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

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Provider Addresses for JESSICA GORGOGLIONE (APN-BC)

  • Bertha Howe Avenue, Mesquite, Clark County, Nevada, 89034, United States

    MESQUITE, NV 890277503

    Phone: (702) 345-2122

    Fax: (702) 345-3063

    Type: Location

  • 3703 Doty Rd Unit 1

    Woodstock, IL 600987517

    Phone: (877) 692-8686

    Fax: (815) 337-4706

    Type: Location

  • 1401 E State St # 3000

    Rockford, IL 611042315

    Phone: (815) 258-6788

    Type: Location

  • 1301 Bertha Howe Ave Ste 1

    Mesquite, NV 890277503

    Phone: (702) 345-2122

    Fax: (702) 345-3063

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Fax: (702) 345-3063

    Type: Mailing

  • 1380 E MEDICAL CENTER DR STE N1800

    ST GEORGE, UT 847902123

    Phone: (435) 251-4100

    Fax: (435) 251-1401

    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: 2022-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200325002478INurse PractitionerNVTBD
I20220907001509INurse PractitionerUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 89027)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Is JESSICA GORGOGLIONE (APN-BC) listed with a National Provider Identifier?
Yes — JESSICA GORGOGLIONE (APN-BC) has NPI 1679071617 on file in the registry.
Active or inactive — what applies to JESSICA GORGOGLIONE (APN-BC)?
You should see JESSICA GORGOGLIONE (APN-BC) as active in CMS-hosted NPPES data.
How would a patient describe JESSICA GORGOGLIONE (APN-BC)'s focus?
For JESSICA GORGOGLIONE (APN-BC), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JESSICA GORGOGLIONE (APN-BC) located near Mesquite?
JESSICA GORGOGLIONE (APN-BC) currently maps to Mesquite, Nevada in this extract.
Does JESSICA GORGOGLIONE (APN-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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