Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chelsea Renee Ettinger

Individual provider Physician Assistant · NPI 1962145284

Chelsea Renee Ettinger is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Massachusetts.

Years since qualifying
4
Licensed in
ID, MA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

55 Fruit Street White 1
Boston, MA 02114-6241
Phone: (617) 724-4100
Fax: (617) 726-7415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 520 S Eagle Rd, Meridian, ID 83642-6351 — (208) 706-5447

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9506 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA-2259 (ID)

Record details

NPI number1962145284
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2022
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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