MRS. MARY ELLEN KISTLER PA-C
NPI 1154638260
Physician Assistant - Medical in Stoneham, MA

Q: What is Mary Kistler's NPI number?

The NPI number for Mary Kistler is 1154638260. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Q: What is Mary Kistler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kistler was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 10, 2010

1 MONTVALE AVE, STE 502, STONEHAM, MA 02180(781) 279-0971(617) 573-5646 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Mary Ellen Kistler Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ELLEN KISTLER PA-C (NPI 1154638260) is an individual medical provider in Stoneham, Massachusetts, licensed in South Carolina (1545) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1154638260

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MARY ELLEN KISTLERCredential: PA-C

Location Address1 MONTVALE AVE, STE 502Stoneham, MA 02180-3559

Mailing Address1 Montvale Ave, Ste 502Stoneham, MA 02180-3559 · (781) 279-0971 · Fax (617) 573-5646

Phone(781) 279-0971

Fax(617) 573-5646

Sole ProprietorNo

Enumeration DateSeptember 10, 2010

Last NPPES UpdateJanuary 2, 2014

✔ NPI 1154638260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in SC · 1545

1 MONTVALE AVE, Stoneham, MA 02180

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID E. NASH M.D.

Otolaryngology

1 MONTVALE AVE, SUITE 502
STONEHAM, MA 02180

Middlesex County (781) 279-0971

DAVID JOHN LESNIK MD

Otolaryngology

1 MONTVALE AVE, SUITE 203
STONEHAM, MA 02180

Middlesex County (617) 279-0971

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 Mary Kistler's NPI number?

The NPI number for Mary Kistler is 1154638260. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Where is Mary Kistler located?

Mary Kistler practices at 1 Montvale Ave Ste 502, Stoneham, MA 02180. The listed phone number is (781) 279-0971.

What is Mary Kistler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mary Kistler was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.