Individual provider Active NPI

Amanda Gilmartin

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1639842289
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8295 Issued in MA
Practice address
732 Harrison Ave
FL 3
Boston, MA 02118
Phone
(617) 638-7350
Fax
(617) 638-7228
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA
Physician Assistant 363A00000X PA8295 MA Primary

Addresses

Primary practice location

732 Harrison Ave
FL 3
Boston, MA 02118

Mailing address

801 Albany Street
FL Ground
Boston, MA 02119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210928003172 PA Practitioner - Physician Assistant 0446657753 Reassigns benefits to 1 organization
I20231113000765 TX Practitioner - Physician Assistant 0446657753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Happy Health and Wellness LLCGroup PAC ID 5698111946, 10 clinicians

Practice addresses (Care Compare)

760 Scranton Carbondale Hwy
Scranton, PA 18508-1112
Phone (512) 517-6626

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Health and Wellness LLC CurrentSince Aug 21, 2025 Accepting new patients

Locations

2000 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 282-8018

760 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 532-9456

2312 Western Trails Blvd
Ste 102B
Austin, TX 78745

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHGFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFGDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCFDD

Organizations & group practices 2

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1639842289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ALBANY STREET",
            "address_2": "FL GROUND",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HARRISON AVE",
            "address_2": "FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-638-7350",
            "fax_number": "617-638-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMARTIN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.