Active NPI
Kristen Raust, PA-C
- Physician Assistant
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA100122
- Practice address
- 840 Harrison Ave
Boston, MA 02118-2905 - Phone
- (617) 638-6610
- Fax
- (617) 638-6616
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA100122 | MA | Primary |
Addresses
Primary practice location
840 Harrison Ave
Boston, MA 02118-2905
Mailing address
960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690
Phone (617) 414-5405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3143348 | Medicaid | NH | |
| 110204642A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 638-6610
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534
16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 764-4624
840 Harrison Ave
Boston, MA 02118-2905
Phone (617) 638-6610
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA100122 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Harbor Radiology Associates Medical Group, Inc | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients |
Locations
16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000
18301 Von Karman Ave
Ste 310
Irvine, CA 92612
Phone (949) 645-3534
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620
960 Massachusetts Ave
Ste 2
Boston, MA 02118
Interoperability endpoints
- kraust238765@direct.bmc.masshiway.net
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1053355792
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1164177028
-
- Community Health Clinic/Center
- South Boston, MA
- NPI 1225228679
Hospital
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Community Health Clinic/Center
- Roslindale, MA
- NPI 1386718823
Hospital
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780874677
Hospital
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1861683518
Hospital
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1124807102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVENUE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690",
"telephone_number": "617-414-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 HARRISON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182905",
"telephone_number": "617-638-6610",
"fax_number": "617-638-6616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUST",
"first_name": "KRISTEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA100122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3143348",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110204642A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.