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

Mrs. Mary Ellen Kistler, PA-C

Individual provider Medical Physician Assistant · NPI 1154638260

Mrs. Mary Ellen Kistler, PA-C is a Medical Physician Assistant in Stoneham, Massachusetts. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Montvale Ave Ste 502
Stoneham, MA 02180-3559
Phone: (781) 279-0971
Fax: (617) 573-5646
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1545 (SC)

Record details

NPI number1154638260
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2010
Last updated in NPPESJanuary 2, 2014

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