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KELLEY A CLARK PA-C
NPI 1194004069
Physician Assistant in Boston, MA

Active since August 10, 2011PECOS Enrolled
725 ALBANY ST, SUITE 7C, BOSTON, MA 02118(617) 638-8992(617) 638-8979 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelley A Clark Pa-c NPPES

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

KELLEY A CLARK PA-C (NPI 1194004069) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA4209) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194004069
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLEY A CLARKCredential: PA-C
Location Address725 ALBANY ST, SUITE 7CBoston, MA 02118-2526
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118
Phone(617) 638-8992
Fax(617) 638-8979
Sole ProprietorNo
Enumeration DateAugust 10, 2011
Last NPPES UpdateFebruary 4, 2015
✔ NPI 1194004069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA4209
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
725 ALBANY ST, Boston, MA 02118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley A Clark Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TYLER BRECK MARTIN NP
Nurse Practitioner (Family)
725 ALBANY ST, SHAPIRO 3, SUITE A
BOSTON, MA 02118
Suffolk County (617) 414-4886
JEFFREY MARK DRAZEN M.D.
Internal Medicine (Pulmonary Disease)
725 ALBANY ST, SHAPIRO 9, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-7480
DR. NOOR ANMOL KAUR CHADHA MD, MS
Obstetrics & Gynecology
725 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 414-2000
DR. KAREN FREUND M.D.
Internal Medicine
725 ALBANY ST, SHAPIRO 5, SUITE A
BOSTON, MA 02118
Suffolk County (617) 638-7428
DR. VIKEN L BABIKIAN M.D.
Psychiatry & Neurology (Neurology)
725 ALBANY ST, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-8456
DR. JOHN J CROKE MD
Dermatology
725 ALBANY ST, SHAPIRO 8
BOSTON, MA 02118
Suffolk County (617) 638-7420
DEBORAH ANN MCNEIL NP
Nurse Practitioner (Acute Care)
725 ALBANY ST, SHAPIRO 4, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-5633
DR. ALEXANDRA R. PIPILAS M.D.
Internal Medicine (Cardiovascular Disease)
725 ALBANY ST, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7490

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 Kelley Clark's NPI number?

The NPI number for Kelley Clark is 1194004069. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Where is Kelley Clark located?

Kelley Clark practices at 725 Albany St Suite 7C, Boston, MA 02118. The listed phone number is (617) 638-8992.

What is Kelley Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelley Clark enrolled in Medicare?

Yes. Kelley Clark is registered in the Medicare PECOS enrollment system.

What insurance does Kelley Clark accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelley Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelley Clark was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.