JENNIFER MAZZOTTA
NPI 1205720919
Nurse Practitioner - Family in Boston, MA
About Jennifer Mazzotta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER MAZZOTTA (NPI 1205720919) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2316668) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Mazzotta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Mazzotta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 34 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 02115 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 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Jennifer Mazzotta's NPI number?
The NPI number for Jennifer Mazzotta is 1205720919. It was assigned to this individual provider in the NPPES registry on June 6, 2025.
Where is Jennifer Mazzotta located?
Jennifer Mazzotta practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Jennifer Mazzotta's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Mazzotta enrolled in Medicare?
Yes. Jennifer Mazzotta is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Mazzotta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Mazzotta reassigns Medicare benefits to Boston Pediatric Neurosurgical Foundation, Inc. (Boston, MA). 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 Jennifer Mazzotta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Mazzotta accept?
Health plans from Taro Health list Jennifer Mazzotta 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 Jennifer Mazzotta was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Jennifer Mazzotta · NPI 1205720919
Family physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 6, 2025.
## Identity
- **NPI:** 1205720919 (Entity type: Individual)
- **Enumerated:** June 6, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2316668 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## 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:** Boston Pediatric Neurosurgical Foundation, Inc. (NPI 1871523753, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1205720919) · Data from the CMS NPPES public registry.