Individual provider Active NPI

Jacqueline Emilia Palmiotti, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1104461433
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2186 Issued in NV
Practice address
376 E Warm Springs Rd Ste 110
Las Vegas, NV 89119-4241
Phone
(702) 848-4443
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2186 NV Primary

Addresses

Primary practice location

376 E Warm Springs Rd Ste 110
Las Vegas, NV 89119-4241

Mailing address

3144 Old Franklin Rd Apt 10201
Antioch, TN 37013-1699
Phone (845) 699-5604

Other names 1

  • Ms. Jacqueline Emilia Lindine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, IL, NJ, WA, DC, VA, MA, MD9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20191217001677 NV Practitioner - Physician Assistant 6507290087
I20231004000165 AZ Practitioner - Physician Assistant 6507290087 Reassigns benefits to 1 organization
I20231012002714 IL Practitioner - Physician Assistant 6507290087
I20231017002165 NJ Practitioner - Physician Assistant 6507290087 Reassigns benefits to 1 organization
I20231228002675 WA Practitioner - Physician Assistant 6507290087 Reassigns benefits to 1 organization
I20240426003267 DC Practitioner - Physician Assistant 6507290087 Reassigns benefits to 1 organization
I20240507004115 VA Practitioner - Physician Assistant 6507290087 Reassigns benefits to 1 organization
I20240613001569 MA Practitioner - Physician Assistant 6507290087 Reassigns benefits to 1 organization
I20240625002810 MD Practitioner - Physician Assistant 6507290087

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
50.5 of 100Reported as group
Quality
44.61
Promoting interoperability
0
Improvement activities
40
Cost
50.57

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
63.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2186NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Arizona CurrentSince Sep 19, 2023 Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

980 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 214-3605

980 N Michigan Ave
Ste 140
Chicago, IL 60611

Interoperability endpoints

  • Direct secure messaging: jacqueline.lindine.1@13869.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1104461433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 OLD FRANKLIN RD APT 10201",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131699",
            "telephone_number": "845-699-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E WARM SPRINGS RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194241",
            "telephone_number": "702-848-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMIOTTI",
        "first_name": "JACQUELINE",
        "middle_name": "EMILIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "LINDINE",
            "middle_name": "EMILIA",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.