MRS. JACKIE RAYMOND (RN) – Family Nurse Practitioner, NPI 1679904346

MRS. JACKIE RAYMOND (RN) is a healthcare provider. based in West boylston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. RN2289192 (MA). The NPI Number for MRS. JACKIE RAYMOND (RN) is 1679904346

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACKIE RAYMOND (RN)
NPI
1679904346
Phone
Not provided
Address
80 HOSMER ST
Enumeration Date
6 December 2013
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085952300
Graduation Year
2015 (11 years ago)
PAC ID
8628374212
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20160308001325
Address ID
MA016062714WO5XXXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for MRS. JACKIE RAYMOND (RN)

  • 80 HOSMER ST

    WEST BOYLSTON, MA 015831504

    Phone:

    Type: Mailing

  • 26 QUEEN ST

    WORCESTER, MA 016102473

    Phone: (508) 870-7770

    Type: Location

  • 225 NEW LANCASTER RD

    LEOMINSTER, MA 014534958

    Phone: (978) 466-3208

    Fax: (978) 840-1680

    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: 2016-03-08

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
I20160308001325INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10979$0
99213Established patient office or other outpatient visit, 20-29 minutes7557$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5252$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5012$0
G0008Administration of influenza virus vaccine1616$0
View full utilization report →

Insurance plans in this area (ZIP 01583)

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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: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

Does MRS. JACKIE RAYMOND (RN) have a public NPI I can cite?
Public records show MRS. JACKIE RAYMOND (RN) under NPI 1679904346.
Is MRS. JACKIE RAYMOND (RN) currently accepting referrals based on NPI status?
Registry metadata lists MRS. JACKIE RAYMOND (RN) as active.
What does the directory say MRS. JACKIE RAYMOND (RN) does?
Insurance directories may phrase it differently, but here MRS. JACKIE RAYMOND (RN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. JACKIE RAYMOND (RN)?
MRS. JACKIE RAYMOND (RN) shows a connection to West Boylston, Massachusetts in registry-derived data.
Who maintains MRS. JACKIE RAYMOND (RN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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