JACLYN ALYSSA MASULLI FNP-C
NPI 1124565171
Nurse Practitioner - Family in Marlborough, MA

Q: What is Jaclyn Masulli's NPI number?

The NPI number for Jaclyn Masulli is 1124565171. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Q: What is Jaclyn Masulli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Masulli was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 30, 2017PECOS Enrolled

225 CEDAR HILL ST, MARLBOROUGH, MA 01752(615) 673-4455 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2022, Jul 12, 2021, Jul 8, 2021 and 3 more (6 updates tracked since 2017).

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About Jaclyn Alyssa Masulli Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN ALYSSA MASULLI FNP-C (NPI 1124565171) is an individual family provider in Marlborough, Massachusetts, licensed in Massachusetts (RN2306800) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124565171

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACLYN ALYSSA MASULLICredential: FNP-C

Location Address225 CEDAR HILL STMarlborough, MA 01752-5900

Mailing Address225 Cedar Hill StMarlborough, MA 01752-5900 · (615) 673-4455

Phone(615) 673-4455

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 30, 2017

Last NPPES UpdateSeptember 1, 20226 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2022

✔ NPI 1124565171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MA · RN2306800

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License RN2306800 (MA)

225 CEDAR HILL ST, Marlborough, MA 01752

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Alyssa Masulli Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294149761

PECOS Enrollment IDI20251111000090

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LORRAINE REDEFRN

Behavior Analyst

225 CEDAR HILL ST
MARLBOROUGH, MA 01752

Middlesex County (877) 418-2978

ELYJAH S HUDSON

Behavior Technician

225 CEDAR HILL ST, SUITE 200
MARLBOROUGH, MA 01752

Middlesex County (877) 418-2978

ALYSSA RENKEWITZ

Behavior Technician

225 CEDAR HILL ST
MARLBOROUGH, MA 01752

Middlesex County (631) 827-9265

JANZA OTTALIS CHAMBERS

Behavior Technician

225 CEDAR HILL ST
MARLBOROUGH, MA 01752

Middlesex County (877) 418-2978

BUTTERFLY EFFECTS

Community/Behavioral Health

225 CEDAR HILL ST
MARLBOROUGH, MA 01752

Middlesex County (877) 418-2978

TAMEKA RASHAWNA DERAMUS

Behavior Technician

225 CEDAR HILL ST
MARLBOROUGH, MA 01752

Middlesex County (513) 375-2797

SANDY IVELY UYEDA

Behavior Technician

225 CEDAR HILL ST
MARLBOROUGH, MA 01752

Middlesex County (888) 329-4535

JULIA ROSE DAVIS

Behavior Technician

225 CEDAR HILL ST
MARLBOROUGH, MA 01752

Middlesex County (508) 630-2140

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 Jaclyn Masulli's NPI number?

The NPI number for Jaclyn Masulli is 1124565171. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Where is Jaclyn Masulli located?

Jaclyn Masulli practices at 225 Cedar Hill St, Marlborough, MA 01752. The listed phone number is (615) 673-4455.

What is Jaclyn Masulli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jaclyn Masulli enrolled in Medicare?

Yes. Jaclyn Masulli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Masulli was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.