Individual provider Active NPI

Jacob Lindsey Oneil, MSN FNP-BC

  • Family Medicine Physician
  • Roswell, NM
National Provider Identifier
1780349571
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65742 Issued in NM
Practice address
177 Poppy Rd
Roswell, NM 88201-8805
Phone
(575) 420-0743
NPI assigned
Nov 5, 2021
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 65742 NM Primary

Addresses

Primary practice location

177 Poppy Rd
Roswell, NM 88201-8805

Mailing address

177 Poppy Rd
Roswell, NM 88201-8805
Phone (575) 420-0743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230911002854 NM Practitioner - Nurse Practitioner 4981068863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1107 N Main St
Roswell, NM 88201-5009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bylyhl Heights LLC Family Medicine CurrentSince Feb 21, 2026 Accepting new patients
Roswell Family Care, LLC CurrentSince May 16, 2023 Accepting new patients

Locations

1107 N Main St
Roswell, NM 88201
Phone (575) 622-5705

400 E Country Club Rd
Roswell, NM 88201
Phone (575) 420-0743

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1780349571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 POPPY RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018805",
            "telephone_number": "575-420-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 POPPY RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018805",
            "telephone_number": "575-420-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEIL",
        "first_name": "JACOB",
        "middle_name": "LINDSEY",
        "credential": "MSN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "65742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.