MEGHAN PRENTISS (PA-C) – Physician Assistant, NPI 1003902404

MEGHAN PRENTISS (PA-C) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. AP1995 (MA). The NPI Number for MEGHAN PRENTISS (PA-C) is 1003902404

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MEGHAN PRENTISS (PA-C)
NPI
1003902404
Phone
(617) 525-7378
Address
75 Francis St
Enumeration Date
4 October 2006
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087465060
Graduation Year
2005 (21 years ago)
PAC ID
6507944592
Group Practice PAC ID
6103320155
Professional Enrollment ID
I20080416000148
Address ID
MA023607223PL45XXXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for MEGHAN PRENTISS (PA-C)

  • 75 Francis St

    Boston, MA 021156110

    Phone: (617) 525-7378

    Type: Location

  • 41 STOCKADE PATH

    DUXBURY, MA 023324627

    Phone: (781) 585-2827

    Type: Mailing

  • 1, Compass Way, East Bridgewater, Plymouth County, Massachusetts, 11333, United States

    SUITE 205

    EAST BRIDGEWATER, MA 023331465

    Phone: (508) 350-2150

    Type: Location

  • 106, Mill Lane, Norwell, Plymouth County, Massachusetts, 02066, United States

    NORWELL, MA 020611347

    Phone: (781) 659-2128

    Type: Mailing

  • 45 RESNIK RD STE 205

    PLYMOUTH, MA 023607223

    Phone: (508) 746-5060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080416000148IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103320155View full group profile
NameSpecialtyState
Nurse PractitionerMA
N E U R O L O G YMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the registry number for MEGHAN PRENTISS (PA-C)?
The registry entry for MEGHAN PRENTISS (PA-C) shows NPI 1003902404.
Is MEGHAN PRENTISS (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MEGHAN PRENTISS (PA-C) as active.
What services align with MEGHAN PRENTISS (PA-C)'s listing?
MEGHAN PRENTISS (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MEGHAN PRENTISS (PA-C)?
MEGHAN PRENTISS (PA-C) is associated with Boston, Massachusetts in the same public data insurers reference.
Can I export MEGHAN PRENTISS (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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