KELSEY STANVICK – Medical Physician Assistant, NPI 1245704097

KELSEY STANVICK is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. 6975 (MA). The NPI Number for KELSEY STANVICK is 1245704097

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY STANVICK
NPI
1245704097
Phone
Not provided
Address
800 WASHINGTON ST
Enumeration Date
15 January 2019
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
3274865621
Group Practice PAC ID
4789647405
Professional Enrollment ID
I20191104002988
Address ID
MA021111552Bo800XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for KELSEY STANVICK

  • Tufts Medical Center, 800, Washington Street, Chinatown, Financial District, Boston, Suffolk County, Massachusetts, 02111, United States

    BOSTON, MA 021111552

    Phone:

    Mailing address matches the actual address.

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: 2019-11-04

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
I20191104002988IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4433$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1816$0
99291Critical care, first 30-74 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 02111)

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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: 4789647405View full group profile
NameSpecialtyState
Nurse PractitionerMA
N E U R O S U R G E R YMA
-MA
N E U R O S U R G E R YMA
Physician AssistantMA
-OR
N E U R O S U R G E R YGA
N E U R O S U R G E R YMA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

Can I verify KELSEY STANVICK with an NPI only?
You can start verification with NPI 1245704097 for KELSEY STANVICK, then check state licensing separately.
Does the file indicate KELSEY STANVICK is practicing under active NPI?
Directory data currently reports KELSEY STANVICK as active.
What taxonomy line describes KELSEY STANVICK?
For research purposes, treat KELSEY STANVICK as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does KELSEY STANVICK serve?
KELSEY STANVICK's listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
Is the information about KELSEY STANVICK up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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