Jacob Connelly
NPI 1790147593ActiveIndividual· Nurse Practitioner, Family· Los Alamos, NM
Nurse Practitioner, Family in Los Alamos, New Mexico, licensed in FL, with an NPI issued in March 2016. Abiomed reported $43.59 in payments in 2025, mostly food and beverage. Lists Los Alamos Medical Center as a hospital affiliation.
Overview
| NPI | 1790147593 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 22, 2016 |
| Last updated in NPPES | Aug 26, 2025 |
| Certified by provider | Aug 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 11005429 | FL |
| Registered Nurse | 163W00000X | RN 9409391 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Hospital affiliation
- Los Alamos Medical CenterLos Alamos, NM
Industry payments (Open Payments)
- 2025$43.59 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abiomed | $43.59 | 1 |
What the 2025 payments were for
- Food and Beverage$43.59 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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