Elizabeth Kirstein, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2116 Issued in MA

Practice address

1030 Main St
Waltham, MA 02451-7447

Phone

(781) 894-6900

Fax

(781) 894-6901

NPI assigned

Mar 23, 2006

Last updated

May 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patriot Urgent Care Professionals PCGroup PAC ID 8820248784, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patriot Urgent Care Professionals, PC

  dba Doctors Express

  • Urgent Care Clinic/Center
  • Waltham, MA
  • NPI 1417205105
  Medicare reassignment Care Compare group
• Patriot Urgent Care Professionals PC

  dba AFC Urgent Care - Cambridge

  • Urgent Care Clinic/Center
  • Cambridge, MA
  • NPI 1245123587
  NPD
• Patriot Urgent Care Professionals, PC

  dba AFC Doctors Express Urgent Care

  • Urgent Care Clinic/Center
  • Stoneham, MA
  • NPI 1588031579
  NPD
• TPS IV of PA, LLC

  • Body Imaging Physician
  • Phila, PA
  • NPI 1740248905
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1689634842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517447",
            "telephone_number": "781-894-6900",
            "fax_number": "781-894-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517447",
            "telephone_number": "781-894-6900",
            "fax_number": "781-894-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSTEIN",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA2116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Kinmonth, OTD
• Betty Kinzali, NP
• Michelle Kirley, NP
• Jacob Matthew Kirsch, MD
• Anne Kirschner
• Nina Kischkum
• Nancy M Kivel, M.D.
• Amanda Klayman
• Rosemary Klein, PH.D.
• Nadine Kleman

• Physician Assistant in Waltham, MA
• Providers in Waltham, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.