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

Kelsey Polikowski

Individual provider Nurse Practitioner · NPI 1104600378

Kelsey Polikowski is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-1721
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2288301 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2288301 (MA)

Record details

NPI number1104600378
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address76 H St, South Boston, MA 02127-4408

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Boston