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

Kourtney Kacian, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1154059277

Kourtney Kacian, PHYSICIANASSISTANT is a Physician Assistant in Somerville, Massachusetts. Qualified in 2022, 4 years ago. Practices with Atrius Health Inc, a 1,205-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

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

Practice location Address checks out

40 Holland St
Somerville, MA 02144-2705
Phone: (617) 629-6000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MA)

Record details

NPI number1154059277
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Atrius Health Inc — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Somerville