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

MS. Kelsey Perry, PA-S1

Individual provider Physician Assistant · NPI 1780400457

MS. Kelsey Perry, PA-S1 is a Physician Assistant in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2024
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Practice location Address checks out

450 Brookline Ave
Boston, MA 02215-5450
Phone: (617) 632-6140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 136 Harrison Ave, Boston, MA 02111-1817 — (617) 636-0405

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA102578 (MA)

Record details

NPI number1780400457
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S1
Sole proprietorNo
NPI enumeratedNovember 27, 2024
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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