1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Physician Assistant
  6. NPI Profile

KELLY NELIGAN FUCILLO PA-C, MPAS
NPI 1619493376
Physician Assistant in Boston, MA

Active since August 15, 2017
55 FRUIT ST, BOSTON, MA 02114(617) 724-2844(617) 726-5804 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2020, Aug 15, 2017 (2 updates tracked since 2017).

About Kelly Neligan Fucillo Pa-c, Mpas NPPES

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

KELLY NELIGAN FUCILLO PA-C, MPAS (NPI 1619493376) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA6259) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1619493376
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY NELIGAN FUCILLOCredential: PA-C, MPAS
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address270 Bowdoin StWinthrop, MA 02152-1735 · (516) 528-7927
Phone(617) 724-2844
Fax(617) 726-5804
Sole ProprietorNo
Enumeration DateAugust 15, 2017
Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2020
✔ NPI 1619493376 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 · PA6259
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
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Elizabeth Neligan Pa-c

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Kelly Fucillo's NPI number?

The NPI number for Kelly Fucillo is 1619493376. It was assigned to this individual provider in the NPPES registry on August 15, 2017. The provider is also known as Kelly Elizabeth Neligan Pa-C.

Where is Kelly Fucillo located?

Kelly Fucillo practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-2844.

What is Kelly Fucillo's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Fucillo was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.