MISS JAIME DAUNT KULLAK RN,WHNP
NPI 1508000803
Nurse Practitioner - Obstetrics & Gynecology in Quincy, MA
About Miss Jaime Daunt Kullak Rn,whnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS JAIME DAUNT KULLAK RN,WHNP (NPI 1508000803) is an individual obstetrics & gynecology provider in Quincy, Massachusetts, licensed in Massachusetts (RN265781) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Jaime Daunt Kullak Rn,whnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaime Kullak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Weymouth, MA 02190
- Reassigned Medicare billing, Massachusetts enrollment
- 671 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 02169 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.
QUINCY, MA 02169
QUINCY, MA 02169
QUINCY, MA 02169
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 Jaime Kullak's NPI number?
The NPI number for Jaime Kullak is 1508000803. It was assigned to this individual provider in the NPPES registry on April 30, 2009.
Where is Jaime Kullak located?
Jaime Kullak practices at 300 Congress St 102, Quincy, MA 02169. The listed phone number is (617) 479-6636.
What is Jaime Kullak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Jaime Kullak enrolled in Medicare?
Yes. Jaime Kullak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaime Kullak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaime Kullak reassigns Medicare benefits to Coastal Medical Associates (Weymouth, 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 Jaime Kullak'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 Jaime Kullak was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Miss Jaime Daunt Kullak, RN,WHNP · NPI 1508000803
Obstetrics & Gynecology physician in Quincy, Massachusetts. Individual provider, active in the CMS NPPES registry since April 30, 2009.
## Identity
- **NPI:** 1508000803 (Entity type: Individual)
- **Enumerated:** April 30, 2009
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** RN265781 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 CONGRESS ST, 102, Quincy, MA 02169-0907
- **Phone:** (617) 479-6636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Coastal Medical Associates (NPI 1932175684, Weymouth, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1508000803) · Data from the CMS NPPES public registry.