KIERSTEN SIMONE LA ROCHE PA
NPI 1629692926
Physician Assistant in Boston, MA

Q: What is Kiersten La Roche's NPI number?

The NPI number for Kiersten La Roche is 1629692926. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Q: What is Kiersten La Roche's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kiersten La Roche was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2020PECOS Enrolled

850 HARRISON AVENUE, YACC 5, BOSTON, MA 02118(617) 414-2000(617) 414-5798 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2022, Jun 2, 2020 (2 updates tracked since 2020).

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About Kiersten Simone La Roche Pa NPPES

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

KIERSTEN SIMONE LA ROCHE PA (NPI 1629692926) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA8047) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629692926

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIERSTEN SIMONE LA ROCHECredential: PA

Location Address850 HARRISON AVENUE, YACC 5Boston, MA 02118-4001

Mailing Address801 Albany Street, Fl GBoston, MA 02119-3791

Phone(617) 414-2000

Fax(617) 414-5798

Sole ProprietorNo

Enumeration DateJune 2, 2020

Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2022

✔ NPI 1629692926 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 · PA8047

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.

850 HARRISON AVENUE, Boston, MA 02118

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiersten Simone La Roche Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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.

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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.

MARI J BENTLEY M.D.

Family Medicine

850 HARRISON AVENUE, YACC 5
BOSTON, MA 02118

Suffolk County (617) 414-2000

JESSICA C. BRICK MD

Pediatrics

850 HARRISON AVENUE, YACC 5
BOSTON, MA 02118

Suffolk County (617) 414-5946

MEGAN HAYES BAIR-MERRITT M.D.

Pediatrics

850 HARRISON AVENUE, YACC 5
BOSTON, MA 02118

Suffolk County (617) 414-5946

MARIE G. CANTAVE-AYER NP

Nurse Practitioner (Family)

850 HARRISON AVENUE, YACC, 3RD FLOOR
BOSTON, MA 02118

Suffolk County (617) 638-6100

ALEXA STARR DOUGHERTY CNM

Advanced Practice Midwife

850 HARRISON AVENUE, FL 4, YAWKEY BLDG
BOSTON, MA 02118

Suffolk County (617) 414-2000

MARSHA L TAHQUECHI CNM

Advanced Practice Midwife

850 HARRISON AVENUE, YACC 5
BOSTON, MA 02118

Suffolk County (617) 414-2000

SIGRIDE JEAN-SICARD NP

Nurse Practitioner (Pediatrics)

850 HARRISON AVENUE, YAWKEY 4
BOSTON, MA 02118

Suffolk County (617) 414-4363

MISS EMILY KATHRYN BURNS CNP

Nurse Practitioner (Women's Health)

850 HARRISON AVENUE, 5TH FLOOR YAWKEY
BOSTON, MA 02118

Suffolk County (617) 414-2000

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 Kiersten La Roche's NPI number?

The NPI number for Kiersten La Roche is 1629692926. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Kiersten La Roche located?

Kiersten La Roche practices at 850 Harrison Avenue Yacc 5, Boston, MA 02118. The listed phone number is (617) 414-2000.

What is Kiersten La Roche's specialty?

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

Is Kiersten La Roche enrolled in Medicare?

Yes. Kiersten La Roche is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiersten La Roche was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.