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

Individual provider Acute Care Nurse Practitioner · NPI 1346061785

Michael Pegg, AGACNP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

560 Huntington Ave
Boston, MA 02115-5902
Phone: (617) 343-2837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2306911 (MA)

Record details

NPI number1346061785
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedOctober 18, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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