Active NPI
Jillian Jewett Pasciucco, DNP, FNP-BC
- Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN282365
- Practice address
- 51 Blossom St
Boston, MA 02114-2601 - Phone
- (617) 722-3000
- NPI assigned
- Dec 2, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95001550 | CA | |
| Nurse Practitioner | 363L00000X | RN1041965 | DC | |
| Nurse Practitioner | 363L00000X | RN282365 | MA | Primary |
Addresses
Primary practice location
51 Blossom St
Boston, MA 02114-2601
Mailing address
51 Blossom St
Boston, MA 02114-2601
Phone (774) 266-0546
Other practice location 1
106 Irving St NW
POB Suite 5000 North
Washington, DC 20010-2927
Phone (202) 877-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001550 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| The Shriners' Hospital for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
51 Blossom St
Boston, MA 02114
Phone (617) 722-3000
159 Wells Ave
Newton Centre, MA 02459
Phone (617) 243-5777
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- Pediatric Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1285078444
-
- Pediatric Surgery Physician
- Boston, MA
- NPI 1366886525
-
- Rehabilitation Clinic/Center
- Springfield, MA
- NPI 1811611825
-
- Children's Hospital
- Chicago, IL
- NPI 1376656538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1275930513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 BLOSSOM ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142601",
"telephone_number": "774-266-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 BLOSSOM ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142601",
"telephone_number": "617-722-3000"
}
],
"practiceLocations": [
{
"address_1": "106 Irving St NW",
"address_2": "POB Suite 5000 North",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102927",
"country_code": "US",
"telephone_number": "202-877-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASCIUCCO",
"first_name": "JILLIAN",
"middle_name": "JEWETT",
"name_prefix": "Dr.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-02",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95001550",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "RN1041965",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN282365",
"primary": true
}
],
"identifiers": [],
"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 Oct 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.