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

Individual provider Medical Physician Assistant · NPI 1699307538

Kathryn Moore, PA-C is a Physician Assistant in Cambridge, Massachusetts. Qualified in 2020, 6 years ago. Practices with Mount Auburn Professional Services Inc, a 228-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
Specialties on file
2
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

300 Mount Auburn St Ste 414
Cambridge, MA 02138-5665
Phone: (617) 864-0503
Fax: (617) 441-4033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA8030 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA8030 (MA)

Record details

NPI number1699307538
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2020
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address300 Mount Auburn St Ste 414, Cambridge, MA 02138-5665

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mount Auburn Professional Services Inc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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