JACKSON GEMMELL
NPI 1073029955
Physician Assistant - Surgical in Boston, MA
About Jackson Gemmell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON GEMMELL (NPI 1073029955) is an individual surgical provider in Boston, Massachusetts, licensed in Massachusetts (PA6373) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Gemmell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jackson Gemmell's NPI number?
The NPI number for Jackson Gemmell is 1073029955. It was assigned to this individual provider in the NPPES registry on December 14, 2017.
Where is Jackson Gemmell located?
Jackson Gemmell practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.
What is Jackson Gemmell's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jackson Gemmell enrolled in Medicare?
Yes. Jackson Gemmell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jackson Gemmell was last updated on December 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jackson Gemmell · NPI 1073029955
Surgical physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since December 14, 2017.
## Identity
- **NPI:** 1073029955 (Entity type: Individual)
- **Enumerated:** December 14, 2017
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA6373 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 FRANCIS ST, Boston, MA 02115-6110
- **Phone:** (617) 732-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 14, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1073029955) · Data from the CMS NPPES public registry.