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

Kelley Basso, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1861149197

Kelley Basso, CPNP-PC is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2022, 4 years ago. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022

Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN2293628 (MA)

Record details

NPI number1861149197
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedMarch 7, 2022
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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