Individual provider Active NPI

Samantha L Elich, PA-C

  • Physician Assistant
  • Cambridge, MA
National Provider Identifier
1518304567
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4712 Issued in MA
Practice address
1435 Cambridge Street
Cambridge, MA 02139-1047
Phone
(617) 665-1430
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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 PA4712 MA Primary

Addresses

Primary practice location

1435 Cambridge Street
Cambridge, MA 02139-1047

Mailing address

339 Boylston Street
Boston, MA 02116
Phone (857) 416-9218

Other practice location 1

21 Austin St
Charlestown, MA 02129-3502
Phone (857) 344-0545

Other practice location 2

339 Boylston Street
Boston, MA 02116
Phone (857) 416-9218

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
I20131002000483 MA Practitioner - Physician Assistant 2264666338 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of Massachusetts PCGroup PAC ID 3971943606, 30 clinicians

Practice addresses (Care Compare)

1254 Boylston St
Boston, MA 02215-4401
Phone (617) 892-4827

399 Boylston St
Boston, MA 02116-3305
Phone (857) 384-6986

75 Spring St
Suite 500
West Roxbury, MA 02132-4335
Phone (857) 375-7739

80 Summer St
Suite 1
Boston, MA 02110-1218
Phone (617) 865-2749

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Cottage Hospital CurrentSince Jun 18, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jul 18, 2025 Accepting new patients
Mt Auburn Professional Services CurrentSince Apr 12, 2017 Accepting new patients
NPI 1518715812 CurrentSince Sep 24, 2025 Accepting new patients
Cambridge Public Health Commission CurrentSince Jul 24, 2013 Accepting new patients
Cambridge Public Health Commission CurrentSince Jul 24, 2013 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jul 18, 2025 Accepting new patients

Locations

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

230 Highland Ave
Somerville, MA 02143
Phone (617) 591-4350

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: selich37512@direct.challiance.masshiway.net

Organizations & group practices 11

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1518304567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 BOYLSTON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "857-416-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 CAMBRIDGE STREET",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "617-665-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Austin St",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "MA",
            "postal_code": "021293502",
            "country_code": "US",
            "telephone_number": "857-344-0545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 Boylston Street",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02116",
            "country_code": "US",
            "telephone_number": "857-416-9218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELICH",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.