Individual provider Active NPI

Jacquelyn T. Marshall, FNP-BC

  • Nurse Practitioner
  • Milford, MA
National Provider Identifier
1376398107
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2339787 Issued in MA
Practice address
115 Water St
Milford, MA 01757-3015
Phone
(774) 462-3380
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2339787 MA
Nurse Practitioner 363L00000X RN2339787 MA Primary

Addresses

Primary practice location

115 Water St
Milford, MA 01757-3015

Mailing address

115 Water St Ste 104
Milford, MA 01757-3015
Phone (774) 462-3380

Other names 1

  • Jacquelyn T Marchand Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624004107 MA Practitioner - Nurse Practitioner 2062955636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

115 Water St
Suite 105
Milford, MA 01757-3015
Phone (774) 462-3380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2339787MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. CurrentSince Jul 8, 2024 Accepting new patients
Umass Memorial Medical Group Inc Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Jul 8, 2024 Accepting new patients

Locations

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

115 Water St
Ste 105
Milford, MA 01757
Phone (508) 478-6880

9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480

115 Water St
Milford, MA 01757
Phone (508) 634-8700

308 Main St
Milford, MA 01757
Phone (508) 478-0555

115 Water St
Ste 105A
Milford, MA 01757

115 Water St
Ste 104
Milford, MA 01757
Phone (508) 482-5411

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 4

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 1

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": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1376398107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WATER ST STE 104",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573015",
            "telephone_number": "774-462-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WATER ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573015",
            "telephone_number": "774-462-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JACQUELYN",
        "middle_name": "T.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2339787",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2339787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "MARCHAND",
            "middle_name": "T",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.