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MRS. PAMELA GRANVILLE PA-C
NPI 1487922191
Physician Assistant - Surgical in Boston, MA

Active since December 08, 2011PECOS Enrolled
300 LONGWOOD AVE, OTOLARYNGOLOGY DEPARTMENT, BOSTON, MA 02115(617) 355-6460 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Pamela Granville Pa-c NPPES

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

MRS. PAMELA GRANVILLE PA-C (NPI 1487922191) is an individual surgical provider in Boston, Massachusetts, licensed in Massachusetts (301719) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487922191
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. PAMELA GRANVILLECredential: PA-C
Location Address300 LONGWOOD AVE, OTOLARYNGOLOGY DEPARTMENTBoston, MA 02115-5724
Mailing Address300 Longwood Ave, Otolaryngology DepartmentBoston, MA 02115
Phone(617) 355-6460
Sole ProprietorYes
Enumeration DateDecember 8, 2011
Last NPPES UpdateAugust 22, 2019
✔ NPI 1487922191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MA · 301719
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA4292
300 LONGWOOD AVE, Boston, MA 02115
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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)

Mrs. Pamela Granville 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.

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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Pamela Granville's NPI number?

The NPI number for Pamela Granville is 1487922191. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Where is Pamela Granville located?

Pamela Granville practices at 300 Longwood Ave Otolaryngology Department, Boston, MA 02115. The listed phone number is (617) 355-6460.

What is Pamela Granville's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Pamela Granville enrolled in Medicare?

Yes. Pamela Granville is registered in the Medicare PECOS enrollment system.

What insurance does Pamela Granville accept?

Health plans from Anthem Blue Cross and Blue Shield list Pamela Granville 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 Pamela Granville was last updated on August 22, 2019. 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.