Active NPI
Moriah Kate Jacobellis, CNP
- Acute Care Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN280798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3151050 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Mass General Brigham Medical Group, Inc. | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- South Weymouth, MA
- NPI 1124079561
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
-
- Internal Medicine Physician
- Salem, NH
- NPI 1083360200
-
- Internal Medicine Physician
- Haverhill, MA
- NPI 1891112637
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Diagnostic Radiology Physician
- S. Weymouth, MA
- NPI 1689909723
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1639773039
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Milford, MA
- NPI 1477527497
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.