Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blakely Ann Plaster, PA-C

Individual provider Physician Assistant · NPI 1194055327

Blakely Ann Plaster, PA-C is a Physician Assistant in Brookline, Massachusetts. Qualified in 2009, 17 years ago. Practices with Longwood Plastic Surgery PC, a 6-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
17
Licensed in
MA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

235 Cypress St
Brookline, MA 02445-6776
Phone: (617) 383-6250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3927 (MA)

Record details

NPI number1194055327
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2010
Last updated in NPPESNovember 11, 2015
Mailing address1493 Cambridge St, Cambridge, MA 02139-1047

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Longwood Plastic Surgery Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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