Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jennifer Lynn Shackelford, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1518202944

MS. Jennifer Lynn Shackelford, ACNP-BC is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2012, 14 years ago. Practices with Regents of the University of California, a 2,061-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
14
Licensed in
CA, MA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

165 Cambridge St Ste 810
Boston, MA 02114-2783
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95004457 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN219976 (MA)

Record details

NPI number1518202944
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedDecember 12, 2012
Last updated in NPPESJanuary 16, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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