Individual provider Active NPI

Jacquelyn Nestor, CRNP

  • Family Nurse Practitioner
  • Waltham, MA
National Provider Identifier
1841730959
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN10026631 Issued in MA
Practice address
271 Waverley Oaks Rd Ste 402
Waltham, MA 02452-8470
Phone
(617) 938-1111
Fax
(833) 438-3313
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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 RN10026631 MA Primary
Family Nurse Practitioner 363LF0000X SP017275 PA

Addresses

Primary practice location

271 Waverley Oaks Rd Ste 402
Waltham, MA 02452-8470

Mailing address

4550 Montgomery Ave
Box 3
Bethesda, MD 20814-3304
Phone (617) 938-1111

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
I20251124000553 MA Order and Referring Only - Physician Assistant 4880963834

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN10026631MAMDFamily Nurse Practitioner
SP017275PAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jacquelynnestor@pmsi.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1841730959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 MONTGOMERY AVE",
            "address_2": "BOX 3",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143304",
            "telephone_number": "617-938-1111",
            "fax_number": "833-438-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 WAVERLEY OAKS RD STE 402",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528470",
            "telephone_number": "617-938-1111",
            "fax_number": "833-438-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTOR",
        "first_name": "JACQUELYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10026631",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.