Individual provider Active NPI

Sharone Ely, PA-C

  • Physician Assistant
  • Brookline, MA
National Provider Identifier
1316590854
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8821 Issued in MA
Practice address
235 Cypress St Ste 210
Brookline, MA 02445-6777
Phone
(617) 383-6250
NPI assigned
Jul 23, 2019
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA8821 MA Primary

Addresses

Primary practice location

235 Cypress St Ste 210
Brookline, MA 02445-6777

Mailing address

28 Lake St
Sherborn, MA 01770-1543

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
I20221209000358 MA Practitioner - Physician Assistant 5597096560 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRX UC Watertown PCGroup PAC ID 3476790163, 12 clinicians
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

1398 Massachusetts Ave
Arlington, MA 02476-4150
Phone (781) 648-4572

372 Washington St
Wellesley, MA 02481-6202
Phone (781) 431-1200

376 Arsenal St
Watertown, MA 02472-2892
Phone (617) 923-2273

93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57049CAMDDentist
PA8821MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DRX UC Watertown PC CurrentSince Jun 21, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Nov 24, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

376 Arsenal St
Watertown, MA 02472
Phone (617) 923-2273

Interoperability endpoints

  • Direct secure messaging: smoverman456557@direct.bilh.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1316590854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LAKE ST",
            "city": "SHERBORN",
            "state": "MA",
            "postal_code": "017701543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST STE 210",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456777",
            "telephone_number": "617-383-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "SHARONE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.