MRS. KELLEY SUSAN GILLIS PA-C
NPI 1265533137
Physician Assistant - Medical in Boston, MA

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
MGH BEACON HILL PRIMARY CARE, 165 CAMBRIDGE ST #501, BOSTON, MA 02114(617) 726-4900 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kelley Susan Gillis Pa-c NPPES

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

MRS. KELLEY SUSAN GILLIS PA-C (NPI 1265533137) is an individual medical provider in Boston, Massachusetts, licensed in New Hampshire (0525) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains a secondary practice location in Nashua.

NPPES Registry Identity

NPI1265533137
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KELLEY SUSAN GILLISCredential: PA-C
Location AddressMGH BEACON HILL PRIMARY CARE, 165 CAMBRIDGE ST #501Boston, MA 02114
Mailing Address2300 Southwood Dr, Dartmouth Hitchcock - Urgent CareNashua, NH 03063-1818 · (603) 577-4188
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 16, 2024
NPI 1265533137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NH · 0525
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA4400 (MA)
MGH BEACON HILL PRIMARY CARE, Boston, MA 02114

Secondary Practice Location 1

Location 12300 Southwood Dr, Dartmouth Hitchcock - Urgent CareNashua, NH 03063-1818 · Phone (603) 577-4188

Other Identifiers 1

Medicaid30334240NH

Accepted Insurance

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

Mrs. Kelley Susan Gillis 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.

PECOS PAC ID2062422702
PECOS Enrollment IDI20060426000355
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services56 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

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 Gillis's NPI number?

The NPI number for Kelley Gillis is 1265533137. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Kelley Gillis located?

Kelley Gillis practices at Mgh Beacon Hill Primary Care 165 Cambridge St #501, Boston, MA 02114. The listed phone number is (617) 726-4900.

What is Kelley Gillis's specialty?

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

Is Kelley Gillis enrolled in Medicare?

Yes. Kelley Gillis 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.

What insurance does Kelley Gillis accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Kelley Gillis 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.

Is Kelley Gillis affiliated with any hospitals?

According to CMS data, Kelley Gillis is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital and St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Kelley Gillis was last updated on April 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.