Individual provider Active NPI

Harena Gebreyesus, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1467228650
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA100288 Issued in MA
Practice address
36 1St Ave
Boston, MA 02129-4557
Phone
(617) 726-2947
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 PA100288 MA Primary

Addresses

Primary practice location

36 1St Ave
Boston, MA 02129-4557

Mailing address

36 1St Ave
Boston, MA 02129-4557
Phone (617) 726-2947

Other practice location 1

1350 Market St Fl 1
Lynnfield, MA 01940-4048
Phone (781) 213-4050

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
I20240418002284 MA Practitioner - Physician Assistant 5597104927 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Emergency Associates, Inc.Group PAC ID 2062508377, 19 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (617) 937-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jan 28, 2026 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 10, 2024 Accepting new patients
CVS Clinic PLLC CurrentSince Sep 30, 2024 Accepting new patients
Merrimack Valley Emergency Associates, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 10, 2024 Accepting new patients
NPI 1518715812 CurrentSince Sep 30, 2024 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Mar 24, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Mar 24, 2025 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Apr 10, 2024 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

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

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

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

Organizations & group practices 10

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": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1467228650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 1ST AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021294557",
            "telephone_number": "617-726-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 1ST AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021294557",
            "telephone_number": "617-726-2947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Market St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lynnfield",
            "state": "MA",
            "postal_code": "019404048",
            "country_code": "US",
            "telephone_number": "781-213-4050",
            "fax_number": "781-213-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBREYESUS",
        "first_name": "HARENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA100288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.