MS. MARY CONNOLLY (PA) – Physician Assistant, NPI 1306937156
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for MS. MARY CONNOLLY (PA)
Lemuel Shattuck Hospital, 170, Morton Street, Forest Hills, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02131, United States
JAMAICA PLAIN, MA 021303735
Phone: (617) 522-8110
Type: Mailing
15, Berwick Street, West Roxbury, Boston, Suffolk County, Massachusetts, 02132, United States
WEST ROXBURY, MA 021324217
Phone: (617) 477-3546
Fax: (617) 971-3783
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: 2017-06-13
PECOS data refreshed: 2026-05-27
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 02130)
Loading plans...
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.