Jaclyn Alyssa Masulli, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2306800 Issued in MA

Practice address

225 Cedar Hill St
Marlborough, MA 01752-5900

Phone

(615) 673-4455

NPI assigned

Jan 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, TX, AZ, FL, MI, DE, DC, CT, WV, NC, IA, NH, MD, RI, VA, ME, NJ, PA, SC19 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 19

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaclyn.masulli.1@22854.direct.athenahealth.com

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.

• Seacoast Affiliated Group Practice, Inc.

  • Clinic/Center
  • Newburyport, MA
  • NPI 1801892344
  Medicare reassignment NPD
• Monogram Health Professional Services of Florida LLC

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1538883111

  Nurse Practitioner

  Medicare reassignment NPD
• Monogram Health Professional Services of Iowa PLLC

  • Nephrology Physician
  • Davenport, IA
  • NPI 1285344150

  Nurse Practitioner

  Medicare reassignment NPD
• Monogram Health Professional Services of New Jersey LLC

  • Nephrology Physician
  • Paramus, NJ
  • NPI 1578284246

  Nurse Practitioner

  Medicare reassignment NPD
• Monogram Health Professional Services of North Carolina PC

  • Nephrology Physician
  • Winston Salem, NC
  • NPI 1366162885

  Nurse Practitioner

  Medicare reassignment NPD
• Monogram Health Professional Services of Texas PLLC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1396481255

  Nurse Practitioner, TX

  Medicare reassignment NPD
• Monogram Health Professional Services of Washington DC PC

  • Nephrology Physician
  • Washington, DC
  • NPI 1962112326

  Nurse Practitioner

  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1952917122

  AZ, Nurse Practitioner

  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  CT, DC, MA, MD, ME, MI, NH, PA, RI, SC, VA, WV

  Medicare reassignment
• Monogram Health Professional Services of New Mexico LLC

  • Nephrology Physician
  • Albuquerque, NM
  • NPI 1831804699

  Nurse Practitioner

  NPD
• CVS Pharmacy Inc

  • Pharmacy
  • Stoughton, MA
  • NPI 1396844692
  NPD (past)
• River Valley Infectious Disease Specialists Inc.

  • Infectious Disease Physician
  • Newburyport, MA
  • NPI 1366712002
  NPD (past)

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1124565171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CEDAR HILL ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525900",
            "telephone_number": "615-673-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CEDAR HILL ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525900",
            "telephone_number": "615-673-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASULLI",
        "first_name": "JACLYN",
        "middle_name": "ALYSSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2306800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2306800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosrita Mason
• Samantha Mason
• Mass Lung & Critical Care, PLLC
• Massachusetts Cardiology Assoc LLC
• Bridgette Masse
• Katelyn Matcovsky
• Dane Matejka
• Darlene Mateo
• Jillian Mateya
• Lalita A Matta, M.D.

• Family Nurse Practitioner in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.