MICHAEL PEGG AGACNP NPI 1346061785

NPI Information

  • NPI: 1346061785
  • Provider Name: MICHAEL PEGG, AGACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 560 HUNTINGTON AVE
    BOSTON, MA
    ZIP 02115
  • Phone: (617) 343-2837

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NPI Details

Michael Pegg, AGACNP is an acute care nurse practitioner in Boston, MA with 2 years of experience. Michael Pegg, AGACNP NPI is 1346061785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

560 HUNTINGTON AVE
BOSTON, MA
ZIP 02115-902
Phone: (617) 343-2837

The NPI 1346061785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2024 and was last updated on 10/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care2306911MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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