Individual provider Active NPI

Patricia Zupan, PA - C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1245781467
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8099 Issued in MA
Practice address
1254 Boylston St
Boston, MA 02215-4401
Phone
(508) 283-9773
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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 020125 NY
Physician Assistant 363A00000X PA8099 MA Primary

Addresses

Primary practice location

1254 Boylston St
Boston, MA 02215-4401

Mailing address

1254 Boylston St
Boston, MA 02215-4401
Phone (508) 283-9773

Other practice location 1

19 Dodge St
Beverly, MA 01915-1793
Phone (781) 328-6542

Other identifiers 2

IdentifierTypeStateIssuer
PA8099OtherMAMA STATE LICENSE
020125OtherNYNY STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161206001094 NY Practitioner - Physician Assistant 7113207358 Reassigns benefits to 1 organization
I20220131002108 MA Practitioner - Physician Assistant 7113207358 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of Massachusetts PCGroup PAC ID 3971943606, 30 clinicians

Practice addresses (Care Compare)

1254 Boylston St
Boston, MA 02215-4401
Phone (617) 892-4827

75 Spring St
Suite 500
West Roxbury, MA 02132-4335
Phone (857) 375-7739

80 Summer St
Suite 1
Boston, MA 02110-1218
Phone (617) 865-2749

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1518715812 CurrentSince Jun 1, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Mar 1, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Mar 1, 2024 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Mar 1, 2024 Accepting new patients
CVS Clinic PLLC CurrentSince Jun 1, 2025 Accepting new patients
Convenientmd LLC Past Accepting new patients

Locations

19 Dodge St
Beverly, MA 01915
Phone (401) 770-1707

1254 Boylston St
Boston, MA 02215
Phone (508) 233-9112

413 Paradise Rd
#B
Swampscott, MA 01907
Phone (978) 922-2003

Organizations & group practices 8

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1245781467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154401",
            "telephone_number": "508-283-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154401",
            "telephone_number": "508-283-9773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Dodge St",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019151793",
            "country_code": "US",
            "telephone_number": "781-328-6542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUPAN",
        "first_name": "PATRICIA",
        "credential": "PA - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020125",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE LICENSE",
            "identifier": "PA8099",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "020125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.