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

Shannon Riley

Individual provider Physician Assistant · NPI 1174349351

Shannon Riley is a Physician Assistant in Boston, Massachusetts. Graduated from Tufts University School of Medicine in 2026. Works from 2 locations. Licensed in Massachusetts.

Trained at
Tufts University School of Medicine
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

175 Cambridge St
Boston, MA 02114-2743
Phone: (617) 643-0824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Fruit St, Boston, MA 02114-2696 — (617) 726-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA102581 (MA)

Record details

NPI number1174349351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address175 Cambridge St, Boston, MA 02114-2743

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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