JACQUELINE M MACDONALD (PA-C) – Physician Assistant, NPI 1164756599
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for JACQUELINE M MACDONALD (PA-C)
960 MASSACHUSETTS AVENUE
FL 2
BOSTON, MA 021182690
Phone:
Type: Mailing
1 BOSTON MEDICAL CTR PL
BCD 1
BOSTON, MA 02118
Phone: (617) 414-5481
Fax: (617) 414-7759
Type: Location
Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States
BOSTON, MA 021142621
Phone: (781) 223-0579
Type: Location
58, Skelley Avenue, East Weymouth, Weymouth, Norfolk County, Massachusetts, 02189, United States
WEYMOUTH, MA 02189
Phone: (781) 223-0579
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100303000147 | I | Physician Assistant | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Physician Assistant | ME | |
| Physician Assistant | MA | |
| Critical Care (Intensivists) | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine | MA | |
| Emergency Medicine, Internal Medicine | MA | |
| - | MA |
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