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

Individual provider Physician Assistant · NPI 1184492738

Tayne S Andersen, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA100112 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA100112 (MA)

Record details

NPI number1184492738
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address9 Mount Vernon St Apt 1, Dorchester, MA 02125-1791

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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