KELLY R WISNIEWSKI PA-C
NPI 1033760657
Physician Assistant in Boston, MA
About Kelly R Wisniewski Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY R WISNIEWSKI PA-C (NPI 1033760657) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly R Wisniewski Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Brigham And Women's Hospital
Acute Care Hospitals · Boston, MAFaulkner Hospital-Brigham And Women's
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Wisniewski's NPI number?
The NPI number for Kelly Wisniewski is 1033760657. It was assigned to this individual provider in the NPPES registry on September 25, 2019.
Where is Kelly Wisniewski located?
Kelly Wisniewski practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5636.
What is Kelly Wisniewski's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelly Wisniewski enrolled in Medicare?
Yes. Kelly Wisniewski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Kelly Wisniewski affiliated with any hospitals?
According to CMS data, Kelly Wisniewski is affiliated with Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.
When was this NPI record last updated?
The NPPES record for Kelly Wisniewski was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly R Wisniewski, PA-C · NPI 1033760657
Physician Assistant physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since September 25, 2019.
## Identity
- **NPI:** 1033760657 (Entity type: Individual)
- **Enumerated:** September 25, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 75 FRANCIS ST, Boston, MA 02115-6110
- **Phone:** (617) 732-5636
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1033760657) · Data from the CMS NPPES public registry.