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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: August 09, 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
Phone(617) 726-2000
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
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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
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 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.

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 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.

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 3 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.