JACLYN MCGOWAN
NPI 1144668971
Nurse Practitioner - Pediatrics in Boston, MA
About Jaclyn Mcgowan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN MCGOWAN (NPI 1144668971) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (RN283317) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaclyn Mcgowan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jaclyn Mcgowan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 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 02114 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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Mcgowan's NPI number?
The NPI number for Jaclyn Mcgowan is 1144668971. It was assigned to this individual provider in the NPPES registry on June 14, 2013.
Where is Jaclyn Mcgowan located?
Jaclyn Mcgowan practices at 55 Fruit St Mgh Ellison 18 Pediatrics, Boston, MA 02114. The listed phone number is (617) 724-5810.
What is Jaclyn Mcgowan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jaclyn Mcgowan enrolled in Medicare?
Yes. Jaclyn Mcgowan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jaclyn Mcgowan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Mcgowan reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 Mcgowan'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 Mcgowan was last updated on June 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jaclyn Mcgowan · NPI 1144668971
Pediatrics physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 14, 2013.
## Identity
- **NPI:** 1144668971 (Entity type: Individual)
- **Enumerated:** June 14, 2013
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN283317 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, MGH ELLISON 18 PEDIATRICS, Boston, MA 02114-2621
- **Phone:** (617) 724-5810
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1144668971) · Data from the CMS NPPES public registry.