KARA M. CONLAN (PA) – Physician Assistant, NPI 1114796901

KARA M. CONLAN (PA) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA101149 (MA). The NPI Number for KARA M. CONLAN (PA) is 1114796901

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KARA M. CONLAN (PA)
NPI
1114796901
Phone
Not provided
Address
960 MASSACHUSETTS AVE
Enumeration Date
21 December 2023
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6176388992
Graduation Year
2025 (1 year ago)
PAC ID
2567980428
Group Practice PAC ID
7618876798
Professional Enrollment ID
I20250515000859
Address ID
MA021182908BO1XXXXPLXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for KARA M. CONLAN (PA)

  • 960 MASSACHUSETTS AVE

    FL 2

    BOSTON, MA 021182690

    Phone:

    Type: Mailing

  • 725 ALBANY STREET, SUITE 7C

    SHAPIRO BLDG

    BOSTON, MA 02118

    Phone: (617) 638-8992

    Fax: (617) 638-8979

    Type: Location

  • 136 Harrison Ave M&V Rm 510A

    Boston, MA 021111817

    Phone: (617) 636-0405

    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: 2025-05-15

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
I20250515000859IPhysician 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 02118)

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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: 7618876798View full group profile
NameSpecialtyState
N E U R O S U R G E R YMA
Nurse PractitionerMA
Physician AssistantMA
N E U R O S U R G E R YMA
Physician AssistantNY
N E U R O S U R G E R YPA
Nurse PractitionerMA
N E U R O S U R G E R YMA
N E U R O S U R G E R YMA
N E U R O S U R G E R YMA

Reviews

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Frequently asked questions

What unique ID ties claims to KARA M. CONLAN (PA)?
NPI 1114796901 is assigned to KARA M. CONLAN (PA) under the national enumeration system.
Is KARA M. CONLAN (PA) currently active in the NPI registry?
CMS-published data lists KARA M. CONLAN (PA) as an active registrant.
Can you summarize KARA M. CONLAN (PA)'s specialty in plain language?
Clinically, the directory lists KARA M. CONLAN (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for KARA M. CONLAN (PA)?
We surface Boston, Massachusetts for KARA M. CONLAN (PA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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