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JACQUELIN PECK M.D.
NPI 1205298650
Anesthesiology in Boston, MA

Active since March 24, 2016PECOS Enrolled

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 31, 2022, Mar 24, 2016 (2 updates tracked since 2016).

About Jacquelin Peck M.d. NPPES

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

JACQUELIN PECK M.D. (NPI 1205298650) is an individual anesthesiology provider in Boston, Massachusetts, licensed in Massachusetts (287603) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205298650
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameJACQUELIN PECKCredential: M.D.
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing AddressDepartment Of Surgery Health Science TowerStony Brook, NY 11794-8191 · (631) 444-1791 · Fax (631) 444-7689
Phone(617) 726-3030
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1205298650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MA · 287603
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 FRUIT ST, Boston, MA 02114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelin Peck M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981097102
PECOS Enrollment IDI20260218000855
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 Reassignments

2

Medicare enrollment records show Jacquelin Peck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
739 mi
Radiology
4100 LAKE DR SE, SUITE 102
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1528374683 (616) 974-4800
Sheridan Healthcorp Inc
1,052 mi
Anesthesiology
60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
NPI 1316519903 (877) 328-1119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Jacquelin Peck's NPI number?

The NPI number for Jacquelin Peck is 1205298650. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Jacquelin Peck located?

Jacquelin Peck practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-3030.

What is Jacquelin Peck's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jacquelin Peck enrolled in Medicare?

Yes. Jacquelin Peck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacquelin Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelin Peck reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Sheridan Healthcorp Inc (Palm Coast, FL). 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 Jacquelin Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelin Peck accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Jacquelin Peck 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.

When was this NPI record last updated?

The NPPES record for Jacquelin Peck was last updated on January 31, 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.