JACLYN MAYER LEMOINE CNP
NPI 1164973632
Nurse Practitioner in Worcester, MA
About Jaclyn Mayer Lemoine Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN MAYER LEMOINE CNP (NPI 1164973632) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN2266615) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Brighton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jaclyn Mayer Lemoine Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jaclyn Lemoine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 1,103 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAUmass Memorial Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Lemoine's NPI number?
The NPI number for Jaclyn Lemoine is 1164973632. It was assigned to this individual provider in the NPPES registry on October 20, 2016.
Where is Jaclyn Lemoine located?
Jaclyn Lemoine practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 622-1903.
What is Jaclyn Lemoine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jaclyn Lemoine enrolled in Medicare?
Yes. Jaclyn Lemoine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jaclyn Lemoine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Lemoine reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Steward Medical Group, Inc (Watertown, 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 Lemoine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Lemoine accept?
Health plans from Anthem Blue Cross and Blue Shield list Jaclyn Lemoine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jaclyn Lemoine affiliated with any hospitals?
According to CMS data, Jaclyn Lemoine is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Jaclyn Lemoine was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Mayer Lemoine, CNP · NPI 1164973632
Nurse Practitioner physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since October 20, 2016.
## Identity
- **NPI:** 1164973632 (Entity type: Individual)
- **Enumerated:** October 20, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN2266615 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (774) 622-1903
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Steward Medical Group, Inc (NPI 1629398219, Watertown, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164973632) · Data from the CMS NPPES public registry.