JACLYN ALYSSA MASULLI FNP-C
NPI 1124565171
Nurse Practitioner - Family in Greenville, SC
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 Greenville, South Carolina, licensed in Massachusetts (RN2306800) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Marlborough, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaclyn Alyssa Masulli Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
8Medicare enrollment records show Jaclyn Masulli reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 31 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Texas enrollment
- 91 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Arizona, Connecticut, District of Columbia, Massachusetts, Maryland, Maine, Michigan, New Hampshire, Pennsylvania, Rhode Island, South Carolina, Virginia and West Virginia enrollments
- Also billed through NPI 1134739089 (West Virginia)
- 67 clinicians in this Medicare group
Jacksonville, FL 32256
- Reassigned Medicare billing, Florida enrollment
- 98 clinicians in this Medicare group
Washington, DC 20005
- Reassigned Medicare billing, District of Columbia enrollment
- 14 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 58 clinicians in this Medicare group
Davenport, IA 52807
- Reassigned Medicare billing, Iowa enrollment
- 46 clinicians in this Medicare group
Newburyport, MA 01950
- Reassigned Medicare billing, Massachusetts enrollment
- 90 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREENVILLE, SC 29607
GREENVILLE, SC 29607
GREENVILLE, SC 29607
GREENVILLE, SC 29607
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 128 Millport Cir Ste 200, Greenville, SC 29607. The listed phone number is (855) 212-2273.
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.
Which organizations bill Medicare for Jaclyn Masulli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Masulli reassigns Medicare benefits to 8 organizations: Monogram Health Professional Services Of North Carolina PC (Winston Salem, NC), Monogram Health Professional Services Of Texas PLLC (Brentwood, TN), Monogram Health Professional Services PC (Brentwood, TN), Monogram Health Professional Services Of Florida LLC (Jacksonville, FL), Monogram Health Professional Services Of Washington Dc PC (Washington, DC) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Masulli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jaclyn Masulli was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Jaclyn Alyssa Masulli, FNP-C · NPI 1124565171
Family physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since January 30, 2017.
## Identity
- **NPI:** 1124565171 (Entity type: Individual)
- **Enumerated:** January 30, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2306800 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 128 MILLPORT CIR STE 200, Greenville, SC 29607-5573
- **Phone:** (855) 212-2273 · **Fax:** (629) 240-6003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Monogram Health Professional Services Of North Carolina PC (NPI 1366162885, Winston Salem, NC); Monogram Health Professional Services Of Texas PLLC (NPI 1396481255, Brentwood, TN); Monogram Health Professional Services PC (NPI 1952917122, Brentwood, TN); Monogram Health Professional Services Of Florida LLC (NPI 1538883111, Jacksonville, FL); Monogram Health Professional Services Of Washington Dc PC (NPI 1962112326, Washington, DC); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124565171) · Data from the CMS NPPES public registry.