KELLIE ST MARTIN
NPI 1598305807
Nurse Practitioner - Adult Health in Boston, MA
About Kellie St Martin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE ST MARTIN (NPI 1598305807) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (2295376) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kellie St Martin 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kellie St Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dorchester, MA 02125
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Uphams Corner Health Committee Inc
- 55 clinicians in this Medicare group
Westwood, MA 02090
- Reassigned Medicare billing, Massachusetts enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Boston Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DORCHESTER, MA 02125
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 Kellie St Martin's NPI number?
The NPI number for Kellie St Martin is 1598305807. It was assigned to this individual provider in the NPPES registry on January 14, 2020. The provider is also known as Kellie St Martin Np.
Where is Kellie St Martin located?
Kellie St Martin practices at 415 Columbia Rd, Boston, MA 02125. The listed phone number is (617) 287-8000.
What is Kellie St Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kellie St Martin enrolled in Medicare?
Yes. Kellie St Martin 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.
Which organizations bill Medicare for Kellie St Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie St Martin reassigns Medicare benefits to 2 organizations: Upham's Corner Health Committee, Inc. (Dorchester, MA) and Pathways Healthcare, LLC (Westwood, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellie St Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie St Martin accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Kellie St Martin 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 Kellie St Martin affiliated with any hospitals?
According to CMS data, Kellie St Martin is affiliated with Boston Medical Center.
When was this NPI record last updated?
The NPPES record for Kellie St Martin was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kellie St Martin · NPI 1598305807
Adult Health physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since January 14, 2020.
## Identity
- **NPI:** 1598305807 (Entity type: Individual)
- **Enumerated:** January 14, 2020
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 2295376 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 COLUMBIA RD, Boston, MA 02125-2424
- **Phone:** (617) 287-8000 · **Fax:** (617) 287-1500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Upham's Corner Health Committee, Inc. (NPI 1780780486, Dorchester, MA); Pathways Healthcare, LLC (NPI 1740529668, Westwood, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1598305807) · Data from the CMS NPPES public registry.