Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanelle Nocon-Speck, PMHNP-BC

Individual provider Registered Nurse · NPI 1366193138

Jeanelle Nocon-Speck, PMHNP-BC is a Nurse Practitioner in Rialto, California. Qualified in 2023, 3 years ago. Practices with County of San Bernardino, a 75-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

850 E Foothill Blvd
Rialto, CA 92376-5230
Phone: (909) 421-9301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95027427 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95149929 (CA)

Record details

NPI number1366193138
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice County Of San Bernardino — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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