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

Individual provider Medical Physician Assistant · NPI 1669545356

Mrs. Alicia Peticolas Kelley, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2004, 22 years ago. Practices with Mass General Brigham Medical Group Suburban Massachusetts Inc, a 532-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
22
Licensed in
MA
In the registry since
2006
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

15 Francis Street PBB-B4
Boston, MA 02115
Phone: (617) 732-8003
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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 363A00000X (MA)

Record details

NPI number1669545356
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mass General Brigham Medical Group Suburban Massachusetts Inc — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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