1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Otolaryngology
  6. NPI Profile

JACQUELINE WULU
NPI 1194127704
Otolaryngology in Boston, MA

Active since September 25, 2014PECOS EnrolledAccepts Medicare Assignment
850 HARRISON AVE, BOSTON, MA 02118(617) 638-7066 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2022, Nov 17, 2021, Dec 13, 2015 (3 updates tracked since 2015).

About Jacqueline Wulu NPPES

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

JACQUELINE WULU (NPI 1194127704) is an individual otolaryngology provider in Boston, Massachusetts, licensed in Massachusetts (264293) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2015).

NPPES Registry Identity

NPI1194127704
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameJACQUELINE WULU
Location Address850 HARRISON AVEBoston, MA 02118-4001
Mailing Address840 Harrison AveBoston, MA 02118-2905 · (617) 638-6800
Phone(617) 638-7066
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2015
Enumeration DateSeptember 25, 2014
Last NPPES UpdateJanuary 7, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
✔ NPI 1194127704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MA · 264293
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
850 HARRISON AVE, Boston, MA 02118
Open in Google Maps ↗

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

Jacqueline Wulu 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.

PECOS PAC ID1557671310
PECOS Enrollment IDI20211008001631, I20211008001959, I20240318001024
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Wulu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
338 mi
Health Maintenance Organization
3400 BOX HILL CORPORATE CENTER DR STE 100&200
Abingdon, MD 21009
NPI 1265971873 (410) 515-5440

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

SHEELA S MARU MD
Obstetrics & Gynecology
850 HARRISON AVE, YACC 4
BOSTON, MA 02118
Suffolk County (617) 414-2000
LIDYA H WLASIUK M.D.
Family Medicine
850 HARRISON AVE, YACC 5
BOSTON, MA 02118
Suffolk County (617) 414-2080
DEBORAH A FRANK MD
Pediatrics
850 HARRISON AVE, YACC5
BOSTON, MA 02118
Suffolk County (617) 414-4841
BRIAN R PENTI M.D.
Family Medicine
850 HARRISON AVE, YACC 4
BOSTON, MA 02118
Suffolk County (617) 414-2080
MARY CHIN LICSW
Social Worker (Clinical)
850 HARRISON AVE, DOWLING 9
BOSTON, MA 02118
Suffolk County (617) 414-4672
ADELIZA OLIVERO MD
Psychiatry & Neurology (Psychiatry)
850 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 414-5245
JEAN EWAN CNM
Advanced Practice Midwife
850 HARRISON AVE, YAWKEY 4TH FLOOR
BOSTON, MA 02118
Suffolk County (617) 414-2000
DOREEN LINEHAN RN
Registered Nurse
850 HARRISON AVE, DOWLING NORTH, SUITE 5108
BOSTON, MA 02118
Suffolk County (617) 638-7062

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 Jacqueline Wulu's NPI number?

The NPI number for Jacqueline Wulu is 1194127704. It was assigned to this individual provider in the NPPES registry on September 25, 2014.

Where is Jacqueline Wulu located?

Jacqueline Wulu practices at 850 Harrison Ave, Boston, MA 02118. The listed phone number is (617) 638-7066.

What is Jacqueline Wulu's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jacqueline Wulu enrolled in Medicare?

Yes. Jacqueline Wulu 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 organization bills Medicare for Jacqueline Wulu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wulu reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Abingdon, MD). The 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 Jacqueline Wulu'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 Jacqueline Wulu was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.