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

Mr. Nicholas Paul Palen, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1336624626

Mr. Nicholas Paul Palen, PHYSICIANASSISTANT is a Physician Assistant in Boston, Massachusetts. Qualified in 2018, 8 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2018

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 724-3874
Fax: (617) 643-4085
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6772 (MA)

Record details

NPI number1336624626
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESOctober 2, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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