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

Individual provider Physician Assistant · NPI 1376335216

Elise Keni Wardell, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2025, 1 year ago. Practices with Boston University General Surgical Associates, Inc, a 85-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
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

840 Harrison Ave Menino Bldg
Boston, MA 02118
Phone: (617) 638-8609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1678 Asylum Ave, West Hartford, CT 06117-2764 — (860) 232-4571
  • 725 Albany Street, Suite 3b, Boston, MA 02118 — (617) 414-4861

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101751 (MA)

Record details

NPI number1376335216
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Boston University General Surgical Associates, Inc. — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Boston