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MRS. ALICIA PETICOLAS KELLEY PA-C
NPI 1669545356
Physician Assistant - Medical in Boston, MA

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
15 FRANCIS STREET, PBB-B4, BOSTON, MA 02115(617) 732-8003 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Alicia Peticolas Kelley Pa-c NPPES

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

MRS. ALICIA PETICOLAS KELLEY PA-C (NPI 1669545356) is an individual medical provider in Boston, Massachusetts, licensed in Massachusetts (363A00000X) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1669545356
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ALICIA PETICOLAS KELLEYCredential: PA-C
Location Address15 FRANCIS STREET, PBB-B4Boston, MA 02115
Mailing Address3 Maple CtMaynard, MA 01754-2342 · (978) 897-1536
Phone(617) 732-8003
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669545356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · 363A00000X
15 FRANCIS STREET, Boston, MA 02115
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedKE AP2302MA · Part B Provider Number

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 and accepts Medicare assignment

Mrs. Alicia Peticolas Kelley 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 ID941267728
PECOS Enrollment IDI20041214000024
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.

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY LOUISE PISCULLI MD
Internal Medicine (Infectious Disease)
15 FRANCIS STREET, BRIGHAM & WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (617) 732-8881
FIZZA MANZOOR
Student in an Organized Health Care Education/Training Program
15 FRANCIS STREET, PBB-A4
BOSTON, MA 02115
Suffolk County (617) 732-8881
TITILOPE O OLANIPEKUN M.D
Internal Medicine (Pulmonary Disease)
15 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Suffolk County (832) 951-0822
DR. ANUJ K DALAL MD
Internal Medicine
15 FRANCIS STREET, BWF HOSPITALIST SERVICE, PBB-B4-428
BOSTON, MA 02115
Suffolk County (617) 278-0055
GLEN M KIM M.D.
Internal Medicine
15 FRANCIS STREET, PBB-B-428
BOSTON, MA 02115
Suffolk County (617) 278-0055
DR. MICHELLE ELIZABETH MATZKO MD
Student in an Organized Health Care Education/Training Program
15 FRANCIS STREET, PBB-A4
BOSTON, MA 02115
Suffolk County (617) 732-8881
MR. EVAN MATTHEW HALL PA-C
Physician Assistant (Surgical)
15 FRANCIS STREET
BOSTON, MA 02115
Suffolk County (617) 732-6824

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 Alicia Kelley's NPI number?

The NPI number for Alicia Kelley is 1669545356. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Alicia Kelley located?

Alicia Kelley practices at 15 Francis Street Pbb-B4, Boston, MA 02115. The listed phone number is (617) 732-8003.

What is Alicia Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alicia Kelley enrolled in Medicare?

Yes. Alicia Kelley 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.

What insurance does Alicia Kelley accept?

Health plans from Anthem Blue Cross and Blue Shield list Alicia Kelley 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 Alicia Kelley affiliated with any hospitals?

According to CMS data, Alicia Kelley is affiliated with Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Kelley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.