Individual provider Active NPI

Moriah Kate Jacobellis, CNP

  • Acute Care Nurse Practitioner
  • Boston, MA
National Provider Identifier
1134637507
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN280798 Issued in MA
Practice address
55 Fruit St # Street8
Boston, MA 02114-2621
Phone
(617) 724-0800
Fax
(617) 726-5804
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN280798 MA Primary
Acute Care Nurse Practitioner 363LA2100X 113859-23 NH

Addresses

Primary practice location

55 Fruit St # Street8
Boston, MA 02114-2621

Mailing address

55 Fruit St # Street8
Boston, MA 02114-2621
Phone (617) 724-0800

Other practice location 1

19 Old Rollinsford Rd Bldg B
Dover, NH 03820-2807
Phone (603) 516-4265

Other identifiers 1

IdentifierTypeStateIssuer
3151050MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221019001217 MA Practitioner - Nurse Practitioner 1153797923 Reassigns benefits to 5 organizations
I20251003001783 NH Practitioner - Nurse Practitioner 1153797923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians
Harbor Medical Associates IncGroup PAC ID 2466356209, 130 clinicians

Practice addresses (Care Compare)

10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866

19 Old Rollinsford Rd
BLDG B
Dover, NH 03820-2807
Phone (603) 516-4265

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

331 Highland Ave
Suite 101
Salem, MA 01970-7006
Phone (978) 744-3499

541 Main St
Suite 400
South Weymouth, MA 02190-1889
Phone (781) 952-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc CurrentSince Dec 6, 2025 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Aug 14, 2025 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Dec 1, 2024 Accepting new patients
General Hospital Corp Current Accepting new patients
Mass General Brigham Medical Group, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Sep 16, 2022 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jan 1, 2026 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Dec 6, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc Past Accepting new patients

Locations

170 University Dr
Amherst, MA 01002
Phone (413) 461-3530

55 Fruit St
#8
Boston, MA 02114
Phone (617) 724-3914

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

480 Lynnfield St
Lynn, MA 01904
Phone (781) 581-3280

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

331 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 740-5506

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 400
Weymouth, MA 02190
Phone (781) 340-0100

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

30 Tuscan Blvd
#3
Salem, NH 03079

Interoperability endpoints

  • Direct secure messaging: jacobellis.moriah.mgh@direct.partners.masshiway.net

Organizations & group practices 12

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1134637507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST # STREET8",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-0800",
            "fax_number": "617-726-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST # STREET8",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-0800",
            "fax_number": "617-726-5804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Old Rollinsford Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202807",
            "country_code": "US",
            "telephone_number": "603-516-4265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBELLIS",
        "first_name": "MORIAH",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN280798",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "113859-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3151050",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.