Individual provider Active NPI

Elizabeth Simpson, PA-C

  • Physician Assistant
  • Plymouth, MA
National Provider Identifier
1265052435
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7986 Issued in MA
Practice address
45 Resnik Rd Ste 205
Plymouth, MA 02360-7223
Phone
(508) 746-5060
NPI assigned
Apr 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA7986 MA Primary

Addresses

Primary practice location

45 Resnik Rd Ste 205
Plymouth, MA 02360-7223

Mailing address

45 Resnik Rd Ste 205
Plymouth, MA 02360-7223
Phone (508) 746-5060

Other practice location 1

190 Groton Rd
Suite 170
Ayer, MA 01432
Phone (617) 789-2375

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
I20210419001391 MA Practitioner - Physician Assistant 2062820764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Mill City Medical Group LTDGroup PAC ID 3577507797, 19 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

595 Pawtucket Blvd
Suite 2
Lowell, MA 01854-2042
Phone (978) 955-9500

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Single Specialty CurrentSince Jan 3, 2025 Accepting new patients
Mill City Medical Group LTD Single Specialty CurrentSince Sep 23, 2025 Accepting new patients
Seacoast Neurology Group, PC Single Specialty CurrentSince Jun 29, 2025 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Jan 3, 2025 Accepting new patients

Locations

190 Groton Rd
Ste 170
Ayer, MA 01432
Phone (978) 772-2600

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

595 Pawtucket Blvd
Ste 2
Lowell, MA 01854
Phone (978) 459-8447

45 Resnik Rd
Ste 205
Plymouth, MA 02360
Phone (508) 746-4240

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1265052435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD STE 205",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607223",
            "telephone_number": "508-746-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD STE 205",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607223",
            "telephone_number": "508-746-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Groton Rd",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "Ayer",
            "state": "MA",
            "postal_code": "01432",
            "country_code": "US",
            "telephone_number": "617-789-2375",
            "fax_number": "617-789-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.