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JACKIE AUDI NP
NPI 1407417991
Nurse Practitioner - Psychiatric/Mental Health in Wellesley, MA

Active since June 25, 2019PECOS Enrolled
11 RIVER ST, WELLESLEY, MA 02481(781) 431-1177 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2025, Aug 19, 2019 (2 updates tracked since 2019).

About Jackie Audi Np NPPES

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

JACKIE AUDI NP (NPI 1407417991) is an individual psychiatric/mental health provider in Wellesley, Massachusetts, licensed in Massachusetts (RN2320561) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407417991
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACKIE AUDICredential: NP
Location Address11 RIVER STWellesley, MA 02481-2098
Mailing Address84 Access Road, Unit 24Norwood, MA 02062
Phone(781) 431-1177
Sole ProprietorNo
Enumeration DateJune 25, 2019
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1407417991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2320561
11 RIVER ST, Wellesley, MA 02481
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Audi Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jackie Audi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carbon Health Urgent Care Of Massachusetts PC
8.3 mi
Urgent Care
578 HUNTINGTON AVE STE 2
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 7 clinicians in this Medicare group
NPI 1134050461 (508) 283-9775
Carbon Health Medical Group Of Florida PA
10 mi
Urgent Care
80 SUMMER ST STE 1
Boston, MA 02110
  • Reassigned Medicare billing, Massachusetts enrollment
  • 58 clinicians in this Medicare group
NPI 1881261303 (510) 982-1162

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 02481 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.

MELISSA DUREI SEASTEAD LICSW
Social Worker (Clinical)
11 RIVER ST, COLONY CARE BEHAVIORAL HEALTH
WELLESLEY, MA 02481
Norfolk County (781) 431-1177
JESSICA AMES M.S.W.
Social Worker (Clinical)
11 RIVER ST, STE 2
WELLESLEY, MA 02481
Norfolk County (617) 435-6563
SARAH ELIZABETH MOYNIHAN LICSW
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1177
MR. TRACY BARNES MSW LICSW
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1177
DR. ROBERT ANTHONY ROSALES
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (508) 685-6480
DR. SUSAN EDITH RUSKIN M.D.
Psychiatry & Neurology (Psychiatry)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 647-0496
MRS. I-CHIEN Y. YOUNG LICSW
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1177
MELISSA CRAWFORD LICSW
Social Worker (Clinical)
11 RIVER ST
WELLESLEY, MA 02481
Norfolk County (781) 431-1177

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 Jackie Audi's NPI number?

The NPI number for Jackie Audi is 1407417991. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Jackie Audi located?

Jackie Audi practices at 11 River St, Wellesley, MA 02481. The listed phone number is (781) 431-1177.

What is Jackie Audi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jackie Audi enrolled in Medicare?

Yes. Jackie Audi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jackie Audi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Audi reassigns Medicare benefits to 2 organizations: Carbon Health Urgent Care Of Massachusetts PC (Boston, MA) and Carbon Health Medical Group Of Florida PA (Boston, MA). 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 Jackie Audi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Audi accept?

Health plans from Harvard Pilgrim Health Care list Jackie Audi 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 Jackie Audi was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.