Individual provider Active NPI

Kirsten Swenson, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1447189246
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA102774 Issued in MA
Practice address
185 Dartmouth St Ste 404
Boston, MA 02116-5886
Phone
(857) 317-2057
Fax
(857) 317-2811
NPI assigned
May 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 PA102774 MA Primary

Addresses

Primary practice location

185 Dartmouth St Ste 404
Boston, MA 02116-5886

Mailing address

185 Dartmouth St Ste 404
Boston, MA 02116-5886
Phone (857) 317-2057

Other practice location 1

840 Harrison Ave
Menino Bldg.
Boston, MA 02118
Phone (617) 638-8609

Other identifiers 1

IdentifierTypeStateIssuer
110236649AMedicaidMA

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
I20260604000911 MA Practitioner - Physician Assistant 8527539196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Boston University School of Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

441 Stuart St
Suite 4
Boston, MA 02116-5069

960 Massachusetts Ave
FL 2
Boston, MA 02118-2690

960 Massachusetts Ave
Suite 2
Boston, MA 02118-2620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA102774MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Institute of Boston PC CurrentSince Jun 1, 2026 Accepting new patients

Locations

185 Dartmouth St
Ste 404
Boston, MA 02116
Phone (857) 317-2057

441 Stuart St
Ste 4
Boston, MA 02116
Phone (617) 266-6020

Organizations & group practices 1

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": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1447189246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 DARTMOUTH ST STE 404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165886",
            "telephone_number": "857-317-2057",
            "fax_number": "857-317-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 DARTMOUTH ST STE 404",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165886",
            "telephone_number": "857-317-2057",
            "fax_number": "857-317-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Harrison Ave",
            "address_2": "Menino Bldg.",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-638-8609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "KIRSTEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA102774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110236649A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.