KELLY SPOHN PA-C
NPI 1306485073
Physician Assistant in Boston, MA

Active since December 30, 2019PECOS EnrolledAccepts Medicare Assignment
55 FRUIT ST, BOSTON, MA 02114(617) 726-2000(717) 531-0429 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 29, 2025, Dec 28, 2025, Mar 21, 2023 and 1 more (4 updates tracked since 2019).

About Kelly Spohn Pa-c NPPES

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

KELLY SPOHN PA-C (NPI 1306485073) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA9197) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1306485073
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY SPOHNCredential: PA-C
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address55 Fruit StBoston, MA 02114-2621
Fax(717) 531-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 30, 2019
Last NPPES UpdateDecember 29, 20254 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1306485073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MA · PA9197 Licensed in PA · MA061323
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.

55 FRUIT ST, Boston, MA 02114

Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6106 · Phone (617) 732-5500

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 Spohn 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 ID8224463146
PECOS Enrollment IDI20230420001350
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.

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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.

Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
55 FRUIT ST, WARREN 1220
BOSTON, MA 02114
Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine
55 FRUIT ST, 4710B
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, BUL 119
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, MGH, BULFINCH 2
BOSTON, MA 02114
Urology
55 FRUIT ST, GRB 1102
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, CLN 3
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306485073, enumerated as an "individual" on December 30, 2019.

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 726-2000.

Physician Assistant with taxonomy code 363A00000X.

Kelly Spohn is affiliated with: MASSACHUSETTS GENERAL HOSPITAL.