Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Mayer Lemoine, CNP

Individual provider Nurse Practitioner · NPI 1164973632

Jaclyn Mayer Lemoine, CNP is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2016, 10 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2016
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 622-1903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 736 Cambridge St, Brighton, MA 02135 — (617) 789-3000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2266615 (MA)

Record details

NPI number1164973632
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedOctober 20, 2016
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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