MS. JACQUELINE AIMEE DALL NURSE PRACTITIONER
NPI 1376901595
Nurse Practitioner - Adult Health in Boston, MA

Active since February 02, 2016PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2026, Feb 2, 2016 (2 updates tracked since 2016).

About Ms. Jacqueline Aimee Dall Nurse Practitioner NPPES

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

MS. JACQUELINE AIMEE DALL NURSE PRACTITIONER (NPI 1376901595) is an individual adult health provider in Boston, Massachusetts, licensed in New York (307572) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376901595
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. JACQUELINE AIMEE DALLCredential: NURSE PRACTITIONER
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address855 Central AveAlbany, NY 12206-1513 · (518) 434-5678 · Fax (518) 434-0732
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 2, 2016
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1376901595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 307572
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2292036 (MA)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 421273 (NY)
55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 1855 Central AvenueAlbany, NY 12206 · Phone (518) 434-5678 ext. 144 · Fax (518) 434-0732

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

Ms. Jacqueline Aimee Dall Nurse Practitioner 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 ID6709177132
PECOS Enrollment IDI20160615001323, I20260608000143
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

3

Medicare enrollment records show Jacqueline Dall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
Clinic/Center
855 CENTRAL AVE.
Albany, NY 12206
  • Reassigned Medicare billing, New York enrollment
  • 16 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 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Dall's NPI number?

The NPI number for Jacqueline Dall is 1376901595. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Where is Jacqueline Dall located?

Jacqueline Dall practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Jacqueline Dall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacqueline Dall enrolled in Medicare?

Yes. Jacqueline Dall 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 Jacqueline Dall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Dall reassigns Medicare benefits to 3 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Upper Hudson Planned Parenthood Inc. (Albany, NY). 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 Jacqueline Dall'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 Dall was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.