JENNIFER SPIDLE RN, PNP
NPI 1790926624
Nurse Practitioner - Pediatrics in Boston, MA
About Jennifer Spidle Rn, Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER SPIDLE RN, PNP (NPI 1790926624) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (266853) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Spidle Rn, Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 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 02215
BOSTON, MA 02215
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 Jennifer Spidle's NPI number?
The NPI number for Jennifer Spidle is 1790926624. It was assigned to this individual provider in the NPPES registry on March 24, 2009.
Where is Jennifer Spidle located?
Jennifer Spidle practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-4992.
What is Jennifer Spidle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jennifer Spidle enrolled in Medicare?
Yes. Jennifer Spidle is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jennifer Spidle was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jennifer Spidle, RN, PNP · NPI 1790926624
Pediatrics physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 24, 2009.
## Identity
- **NPI:** 1790926624 (Entity type: Individual)
- **Enumerated:** March 24, 2009
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 266853 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 BROOKLINE AVE, Boston, MA 02215-5418
- **Phone:** (617) 632-4992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 8, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1790926624) · Data from the CMS NPPES public registry.