CLAIRE KELLY (PA-C) – Physician Assistant, NPI 1679004808

CLAIRE KELLY (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. PA9269 (MA). The NPI Number for CLAIRE KELLY (PA-C) is 1679004808

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CLAIRE KELLY (PA-C)
NPI
1679004808
Phone
(802) 310-6436
Address
75 FRANCIS ST
Enumeration Date
21 March 2017
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6179837000
Graduation Year
2023 (3 years ago)
PAC ID
3971969916
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20230518000148
Address ID
MA021303446JA1153XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for CLAIRE KELLY (PA-C)

  • 75 FRANCIS ST

    BOSTON, MA 021156106

    Phone: (802) 310-6436

    Type: Location

  • 8, Tyler Drive, Essex Junction, Essex, Chittenden County, Vermont, 05452, United States

    ESSEX JUNCTION, VT 054524639

    Phone: (802) 310-6436

    Type: Mailing

  • 59 FOUNTAIN ST APT 527

    FRAMINGHAM, MA 017026391

    Phone: (802) 310-6436

    Type: Mailing

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: 2023-05-18

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
I20230518000148IPhysician 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
99285Emergency department visit with high level of medical decision making5150$0
99284Emergency department visit with moderate level of medical decision making2828$0
View full utilization report →

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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Can I cross-check CLAIRE KELLY (PA-C) using NPI 1679004808?
NPI 1679004808 belongs to CLAIRE KELLY (PA-C); compare other details if you need extra assurance.
Would CLAIRE KELLY (PA-C) appear as active to a payer?
You can treat CLAIRE KELLY (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CLAIRE KELLY (PA-C)?
CLAIRE KELLY (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is CLAIRE KELLY (PA-C) registered?
Use Boston, Massachusetts as the headline location for CLAIRE KELLY (PA-C) here.
When was this NPI issued?
Enumeration for CLAIRE KELLY (PA-C) is noted as March 21, 2017 where the registry provides it.

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