JACQUELINE VITTUM (NP) – Community Health Registered Nurse, NPI 1427710417

JACQUELINE VITTUM (NP) is a healthcare provider. based in Cambridge, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2357504 (MA). The NPI Number for JACQUELINE VITTUM (NP) is 1427710417

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE VITTUM (NP)
NPI
1427710417
Phone
(617) 492-3500
Address
330 MOUNT AUBURN ST
Enumeration Date
7 October 2021
Last Update Date
7 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6174995639
Graduation Year
2023 (3 years ago)
PAC ID
8628414133
Group Practice PAC ID
6103725031
Professional Enrollment ID
I20240306003978
Address ID
MA021385502CA330XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for JACQUELINE VITTUM (NP)

  • 330 MOUNT AUBURN ST

    CAMBRIDGE, MA 021385502

    Phone: (617) 492-3500

    Type: Mailing

  • 35 CHRISTOPHER DR

    GRAFTON, MA 015191068

    Phone: (508) 320-7904

    Type: Mailing

  • 19 TACOMA ST

    WORCESTER, MA 016053516

    Phone: (508) 595-1115

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: TOLMAR, INC. ($25).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-03-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240306003978INurse PractitionerMATBD

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.

Verify on CMS Revalidation Lookup Tool

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 02138)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103725031View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JACQUELINE VITTUM (NP)?
Save NPI 1427710417 if you need a stable reference for JACQUELINE VITTUM (NP).
Does this profile mean JACQUELINE VITTUM (NP) is currently active?
Yes — JACQUELINE VITTUM (NP) appears active in the national provider directory.
Can you summarize JACQUELINE VITTUM (NP)'s specialty in plain language?
Clinically, the directory lists JACQUELINE VITTUM (NP) with Community Health Registered Nurse. Clinical services aligned with this taxonomy classification.
Does JACQUELINE VITTUM (NP) practice in Massachusetts?
You will see Cambridge, Massachusetts on file for JACQUELINE VITTUM (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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