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Jill T Bolduc , CPNP-PC

Nurse Practitioner β€’ Boston, MA

Active NPI 1215666839 Individual Practitioner Female Practitioner
Practice location in NPPES

55 Fruit St
Boston, MA 021142621

Call 6177268707 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St

Boston, MA 021142621

Telephone 6177268707
Organization at the Same NPPES Address or Phone
Massachusetts General Hospital Facility NPI 1184613721

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jill Bolduc has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jill Bolduc as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boston and Massachusetts

978 active clinicians are listed under Nurse Practitioner with a practice address in Boston, MA (3,509 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boston

24.7% of these 978 clinicians have the CMS telehealth indicator.

47.1% of these 978 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MA 2308867

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES MA 2308867
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20241031000995

Enrollment State Jurisdiction

MA

PECOS Control ID

5799218517

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Kevin Cornett , MSN, RN

Nurse Practitioner

NPI 1467120840

Master of Science in Nursing, Registered Nurse

San Kim

Student in an Organized Health Care Education/Training Program

NPI 1912684978
Dr. Thomas Kinane , MD

Pediatrics - Pediatric Pulmonology

NPI 1861482770

Doctor of Medicine (M.D.)

Dr. Allen Lapey , MD

Pediatrics - Pediatric Allergy/Immunology

NPI 1982694287

Doctor of Medicine (M.D.)

Jennifer Li

Allergy & Immunology

NPI 1841681566
Dr. David Pyle , MD, PhD

Pediatrics - Pediatric Allergy/Immunology

NPI 1902284029

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address May 28, 2025

Registered at 55 FRUIT ST BLDG 6TH, BOSTON, MA 021142696 (Tel: 6177268707)

πŸ“
Updated Practice Location October 03, 2024

Registered at 55 FRUIT ST, BOSTON, MA 021142621 (Tel: 6177268707)

πŸ“
Updated Business Mailing Address October 03, 2024

Registered at 26 SUGAR HILL CIR, METHUEN, MA 018441837 (Tel: 9788574549)

πŸ“
Updated Business Mailing Address July 26, 2022

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724 (Tel: 6173556000)

βœ…
NPI Profile Active June 09, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2022

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724 (Tel: 6173556000)

πŸ“
Business Mailing Address (Initial Record) June 09, 2022

Registered at 54 HIDDEN RD, METHUEN, MA 018441860 (Tel: 9788574549)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2022

Recorded as JILL BOLDUC, CPNP-PC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2022

Nurse Practitioner (license number reported to NPPES: MA 2308867)

🟒
Initial NPI Registration & Enumeration June 08, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215666839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2022
Last Update: May 28, 2025
Sole Proprietor: No

Other Nurse Practitioners in Boston

All Nurse Practitioners in Boston

Mailing Address

55 Fruit St Bldg 6th

Boston, MA 021142696

Phone: 6177268707

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.