DR. JACQUELINE R SLY FNP, DNP
NPI 1912284316
Internal Medicine - Interventional Cardiology in Brockton, MA

Q: What is Jacqueline Sly's NPI number?

The NPI number for Jacqueline Sly is 1912284316. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Q: What is Jacqueline Sly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Sly was last updated on August 9, 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.

Active since November 14, 2011PECOS EnrolledAccepts Medicare Assignment

110 LIBERTY ST, BROCKTON, MA 02301(508) 894-0400(508) 894-0356 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2024, Dec 5, 2022, Nov 28, 2022 and 1 more (4 updates tracked since 2018).

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About Dr. Jacqueline R Sly Fnp, Dnp NPPES

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

DR. JACQUELINE R SLY FNP, DNP (NPI 1912284316) is an individual interventional cardiology provider in Brockton, Massachusetts, licensed in Maine (CNP221579) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Stephens Memorial Hospital, and maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1912284316

Entity TypeIndividualFemale

Primary Taxonomy207RI0011X

Provider Legal NameDR. JACQUELINE R SLYCredential: FNP, DNP

Location Address110 LIBERTY STBrockton, MA 02301

Mailing Address8 Pikes HlNorway, ME 04268-5340 · (207) 744-6444

Phone(508) 894-0400

Fax(508) 894-0356

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 14, 2011

Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration

NPPES CertifiedAugust 9, 2024

✔ NPI 1912284316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in ME · CNP221579

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CNP221579 (ME)

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License RN189769 (MA)

110 LIBERTY ST, Brockton, MA 02301

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Secondary Practice Location 1

Location 12 Great Falls Plz Ste 21Auburn, ME 04210-5966 · Phone (207) 330-3950 · Fax (207) 330-3955

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline R Sly Fnp, Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749449569

PECOS Enrollment IDI20230215000159

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services46 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201315

Location181 Main StreetNorway, ME 04268 · Oxford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

MR. RICHARD DUONG PA-C

Physician Assistant