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

Shonah Anderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265167399

Shonah Anderson is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Coastal Medical Associates, a 446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19 Foster St, Worcester, MA 01608-1715 — (508) 373-5607

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9377 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265167399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 21, 2022
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing address75 Francis St, Boston, MA 02115-6110

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Coastal Medical Associates — 446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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