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

Ellice Santangelo

Individual provider Physician Assistant · NPI 1043048408

Ellice Santangelo is a Physician Assistant in Boston, Massachusetts. Qualified in 2025, 1 year ago. Accepts Medicare assignment.

Years since qualifying
1
In the registry since
2024

Practice location Address checks out

360 Huntington Ave
Boston, MA 02115-5005
Phone: (617) 373-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043048408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address100 Arlington St Unit 8g, Boston, MA 02116-5358

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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