JACQUELINE SHEN
NPI 1548963457
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 22, 2023PECOS Enrolled
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Shen NPPES

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

JACQUELINE SHEN (NPI 1548963457) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548963457
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE SHEN
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing Address330 Brookline AveBoston, MA 02215-5400
Sole ProprietorNo
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
NPI 1548963457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

330 BROOKLINE AVE, Boston, MA 02215

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacqueline Shen 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.

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
330 BROOKLINE AVE, KS 306
BOSTON, MA 02215
Internal Medicine (Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE, DEPT OF ANESTHESIA ST-308
BOSTON, MA 02215
Internal Medicine (Critical Care Medicine)
330 BROOKLINE AVE, GZ 405
BOSTON, MA 02215
Radiology (Radiation Oncology)
330 BROOKLINE AVE, FINARD BUILDING B25
BOSTON, MA 02215
Psychiatry & Neurology (Neurology)
330 BROOKLINE AVE
BOSTON, MA 02215
Pathology (Neuropathology)
330 BROOKLINE AVE, DEPT. OF NEUROLOGY
BOSTON, MA 02215
Internal Medicine (Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA 02215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548963457, enumerated as an "individual" on March 22, 2023.

The provider is located at 330 BROOKLINE AVE BOSTON, MA 02215 and the phone number is (617) 667-7000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.