JACQUELINE SUZANNE ROMAN
NPI 1659925907
Nurse Practitioner - Primary Care in Boston, MA
About Jacqueline Suzanne Roman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE SUZANNE ROMAN (NPI 1659925907) is an individual primary care provider in Boston, Massachusetts, licensed in Massachusetts (AG06190202) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Suzanne Roman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Roman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 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.
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.
BOSTON, MA 02114
BOSTON, MA 02114
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 Roman's NPI number?
The NPI number for Jacqueline Roman is 1659925907. It was assigned to this individual provider in the NPPES registry on July 25, 2019.
Where is Jacqueline Roman located?
Jacqueline Roman practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-6000.
What is Jacqueline Roman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jacqueline Roman enrolled in Medicare?
Yes. Jacqueline Roman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacqueline Roman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Roman reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (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 Jacqueline Roman'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 Roman was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacqueline Suzanne Roman · NPI 1659925907
Primary Care physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since July 25, 2019.
## Identity
- **NPI:** 1659925907 (Entity type: Individual)
- **Enumerated:** July 25, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** AG06190202 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2696
- **Phone:** (617) 726-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659925907) · Data from the CMS NPPES public registry.