DR. JACQUELINE R SLY FNP, DNP
NPI 1912284316
Internal Medicine - Interventional Cardiology in Brockton, MA
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
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Sly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Biddeford, ME 04005
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1346299815 (Maine)
- 3,140 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 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.
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.
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, MEPhysician 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.
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.
BROCKTON, MA 02301
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 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.
Where is Jacqueline Sly located?
Jacqueline Sly practices at 110 Liberty St, Brockton, MA 02301. The listed phone number is (508) 894-0400.
What is Jacqueline Sly's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Jacqueline Sly enrolled in Medicare?
Yes. Jacqueline Sly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Sly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Sly reassigns Medicare benefits to 2 organizations: Mainehealth (Biddeford, ME) and St. Mary's Regional Medical Center (Lewiston, ME). 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 Sly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Sly affiliated with any hospitals?
According to CMS data, Jacqueline Sly is affiliated with Stephens Memorial Hospital.
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.
# Dr. Jacqueline R Sly, FNP, DNP · NPI 1912284316
Interventional Cardiology physician in Brockton, Massachusetts. Individual provider, active in the CMS NPPES registry since November 14, 2011.
## Identity
- **NPI:** 1912284316 (Entity type: Individual)
- **Enumerated:** November 14, 2011
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** CNP221579 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 LIBERTY ST, Brockton, MA 02301
- **Phone:** (508) 894-0400 · **Fax:** (508) 894-0356
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Mainehealth (NPI 1215417019, Biddeford, ME); St. Mary's Regional Medical Center (NPI 1447226584, Lewiston, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** August 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912284316) · Data from the CMS NPPES public registry.