Individual provider Active NPI

Holly A. Driscoll, PA-C

  • Surgical Physician Assistant
  • Milford, MA
National Provider Identifier
1083640817
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1069 Issued in MA
Practice address
14 Prospect Street
Milford, MA 01757-3003
Phone
(508) 473-1190
Fax
(508) 482-5416
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1069 MA
Surgical Physician Assistant 363AS0400X PA1069 MA Primary

Addresses

Primary practice location

14 Prospect Street
Milford, MA 01757-3003

Mailing address

124 Grove Street
Suite 305
Franklin, MA 02038-3156
Phone (508) 528-5392

Other identifiers 1

IdentifierTypeStateIssuer
110064316AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000208 MA Practitioner - Physician Assistant 5193773844 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. CurrentSince Jun 8, 2009 Accepting new patients
Umass Memorial Medical Group Inc Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Jun 8, 2009 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Ocean State Neurosurgery, LLC Past Accepting new patients
VHS Acquisition Subsidiary Number 9 Inc Past Accepting new patients

Locations

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

124 Grove St
Ste 305
Franklin, MA 02038
Phone (508) 473-7599

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

9 Industrial Rd
Ste 5
Milford, MA 01757
Phone (508) 473-1480

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1083640817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GROVE STREET",
            "address_2": "SUITE 305",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383156",
            "telephone_number": "508-528-5392",
            "fax_number": "508-541-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PROSPECT STREET",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573003",
            "telephone_number": "508-473-1190",
            "fax_number": "508-482-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "HOLLY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA1069",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA1069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110064316A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.