JESSICA LACY YASUDA MD
NPI 1356768816
Pediatrics - Pediatric Gastroenterology in Boston, MA

Active since March 23, 2014PECOS EnrolledAccepts Medicare Assignment
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-8241 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2020, Sep 12, 2016 (2 updates tracked since 2016).

About Jessica Lacy Yasuda Md NPPES

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

JESSICA LACY YASUDA MD (NPI 1356768816) is an individual pediatric gastroenterology provider in Boston, Massachusetts, licensed in Massachusetts (269784) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2014).

NPPES Registry Identity

NPI1356768816
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameJESSICA LACY YASUDACredential: MD
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2014
Enumeration DateMarch 23, 2014
Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration
NPI 1356768816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in MA · 269784
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
300 LONGWOOD AVE, Boston, MA 02115

Other Names 1

Former Name (1)Jessica Lacy

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Lacy Yasuda Md 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 ID8921439621
PECOS Enrollment IDI20200513001786
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.

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.

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
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
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.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
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 Jessica Yasuda's NPI number?

The NPI number for Jessica Yasuda is 1356768816. It was assigned to this individual provider in the NPPES registry on March 23, 2014. The provider is also known as Jessica Lacy.

Where is Jessica Yasuda located?

Jessica Yasuda practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-8241.

What is Jessica Yasuda's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Jessica Yasuda enrolled in Medicare?

Yes. Jessica Yasuda 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.

What insurance does Jessica Yasuda accept?

Health plans from Anthem Blue Cross and Blue Shield list Jessica Yasuda 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 Jessica Yasuda was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.