Individual provider Active NPI

Maddison Feeley, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1376350538
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
899 Congress St Apt 727
Boston, MA 02210-2821
Phone
(518) 779-3084
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 Primary

Addresses

Primary practice location

899 Congress St Apt 727
Boston, MA 02210-2821

Mailing address

899 Congress St Apt 727
Boston, MA 02210-2821
Phone (518) 779-3084

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
I20250710000084 MA Practitioner - Physician Assistant 5991219081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Amster DermGroup PAC ID 2062907116, 2 clinicians
Newton Watertown Dermatology Assoc. PCGroup PAC ID 7517908064, 4 clinicians

Practice addresses (Care Compare)

280 Washington St
Suite 212
Brighton, MA 02135-3511
Phone (617) 762-7100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Watertown Dermatology Associates Current Accepting new patients
Mark Amster Derm CurrentSince Oct 22, 2025 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

280 Washington St
Ste 212
Brighton, MA 02135
Phone (617) 762-7100

800 Falmouth Rd
Ste 101B
Mashpee, MA 02649
Phone (612) 783-7100

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.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1376350538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 CONGRESS ST APT 727",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022102821",
            "telephone_number": "518-779-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 CONGRESS ST APT 727",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022102821",
            "telephone_number": "518-779-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEELEY",
        "first_name": "MADDISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.