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

Mrs. Kelley Susan Gillis, PA-C

Individual provider Physician Assistant · NPI 1265533137

Mrs. Kelley Susan Gillis, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2003, 23 years ago. Practices with Mary Hitchcock Memorial Hospital, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New Hampshire.

Years since qualifying
23
Licensed in
MA, NH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

MGH Beacon Hill Primary Care 165 Cambridge St #501
Boston, MA 02114
Phone: (617) 726-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 Southwood Dr, Nashua, NH 03063-1818 — (603) 577-4188

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0525 (NH)
Physician Assistant Taxonomy 363A00000X · Licence PA4400 (MA)

Record details

NPI number1265533137
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESApril 23, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mary Hitchcock Memorial Hospital — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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