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

Stephanie Lilly Pelletier, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134887169

Stephanie Lilly Pelletier, NP is a Certified Clinical Nurse Specialist (Cns) in Boston, Massachusetts. Qualified in 2021, 5 years ago. Practices with Moonshot Psychiatric Nurse Practitioner PC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Massachusetts.

Years since qualifying
5
Licensed in
FL, MA
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

137 Bay State Rd Apt 4
Boston, MA 02215-1718
Phone: (603) 809-8059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11024218 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN2318364 (MA)

Record details

NPI number1134887169
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 7, 2021
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Moonshot Psychiatric Nurse Practitioner Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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