MARY ELISE LYNCH – Obstetrics & Gynecology Physician, NPI 1265963615

MARY ELISE LYNCH is a healthcare provider. based in Roxbury, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold a License No. D92315 (MD). The NPI Number for MARY ELISE LYNCH is 1265963615

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELISE LYNCH
NPI
1265963615
Phone
Not provided
Address
11 POMPEII ST # 2
Enumeration Date
27 March 2017
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2154566850
Graduation Year
2017 (9 years ago)
PAC ID
4981975737
Group Practice PAC ID
2769395896
Professional Enrollment ID
I20231120000953
Address ID
PA191413092PH5501XTOWE601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for MARY ELISE LYNCH

  • 11 POMPEII ST # 2

    ROXBURY, MA 021192917

    Phone:

    Type: Mailing

  • 101 E OLNEY AVE STE 400

    PHILADELPHIA, PA 191202470

    Phone: (215) 456-1825

    Fax: (215) 456-5926

    Type: Mailing

  • 1 Boston Medical Ctr Pl

    Boston, MA 021182908

    Phone: (617) 414-8000

    Type: Location

  • 4940 Eastern Ave

    Baltimore, MD 212242735

    Phone: (410) 550-0100

    Type: Location

  • 850 Harrison Ave

    Boston, MA 021184001

    Phone: (267) 317-0759

    Type: Location

  • Boston Medical Center, 1, Massachusetts Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    BOSTON, MA 021182908

    Phone: (617) 414-8000

    Type: Location

  • 6201 GREENLEIGH AVE

    MIDDLE RIVER, MD 212202004

    Phone: (410) 933-6421

    Type: Mailing

  • 4940 EASTERN AVE

    BALTIMORE, MD 212242735

    Phone: (410) 550-0100

    Type: Location

  • 5501 OLD YORK RD # LIFTER1

    PHILADELPHIA, PA 191413018

    Phone: (215) 456-7405

    Fax: (215) 456-7403

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-11-20

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
I20231120000953IObstetrics/GynecologyPATBD

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 02119)

Loading plans...

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: 2769395896View full group profile
NameSpecialtyState
E N D O C R I N O L O G YPA
-PA
Internal MedicinePA
Nurse PractitionerPA
N E U R O L O G YPA
-PA
-PA
Diagnostic RadiologyPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for MARY ELISE LYNCH?
MARY ELISE LYNCH — NPI 1265963615 — is the standard way to identify this listing.
Does the file indicate MARY ELISE LYNCH is practicing under active NPI?
Directory data currently reports MARY ELISE LYNCH as active.
What is MARY ELISE LYNCH's specialty?
The listing groups MARY ELISE LYNCH with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does MARY ELISE LYNCH list a practice location?
Patients near Roxbury, Massachusetts may find MARY ELISE LYNCH in results; validate coverage separately.
Why does MARY ELISE LYNCH have multiple addresses?
9 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

KELLY FLYNN (MD)

Gynecology Physician
15, Brackett Street, Needham, Norfolk County, Massachusetts, 02192, United States
NPI: 1831197896

TODD A SHAPIRO (M.D.)

Obstetrics & Gynecology Physician
45 Dimock St
NPI: 1295774297

KATHARYN M ATKINS (M.D.)

Obstetrics & Gynecology Physician
Mary Eliza Mahoney House Family Shelter, 55, Dimock Street, Roxbury, Boston, Suffolk County, Massachusetts, 02130-0947, United States
NPI: 1710912803

JENNIFER ANN SCOTT (MD)

Obstetrics & Gynecology Physician
Mary Eliza Mahoney House Family Shelter, 55, Dimock Street, Roxbury, Boston, Suffolk County, Massachusetts, 02130-0947, United States
NPI: 1871749804

DR. ROSE LEONARD MOLINA (M.D.)

Obstetrics & Gynecology Physician
75 FRANCIS ST
NPI: 1467741231

MRS. ATENA ASIAII (MD)

Obstetrics & Gynecology Physician
55 DIMOCK ST
NPI: 1720421282

ALICE HAN (MD MSC FRCSC)

Obstetrics & Gynecology Physician
207, Park Drive, Audubon Square, Back Bay, Boston, Suffolk County, Massachusetts, 02215, United States
NPI: 1205289634

DR. EMILY LAUREN KELLOGG (MD)

Obstetrics & Gynecology Physician
290 COMMONWEALTH AVE APT B
NPI: 1053841171