Alexandra K Ellis

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA8583 Issued in MA

Practice address

850 Boylston St Ste 530
Chestnut Hill, MA 02467-2475

Phone

(617) 732-9900

NPI assigned

Mar 8, 2022

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Dispatchhealth Massachusetts PCGroup PAC ID 0840542791, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
• Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexandra.ellis.1@13869.direct.athenahealth.com
• Direct secure messaging: ellis.alexandra.bwh@direct.partners.masshiway.net

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.

• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497
  Medicare reassignment Care Compare group
• Dispatchhealth Massachusetts PC

  • Emergency Medicine Physician
  • Auburn, MA
  • NPI 1629555842
  Medicare reassignment Care Compare group
• Cambridge TMS, Inc.

  • Psychiatry Physician
  • Cambridge, MA
  • NPI 1245776368
  Medicare reassignment
• Brigham and Women'S Hospital

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1093885816
  NPD
• Excella Home Health Agency, LLC

  • Home Health Agency
  • Ludlow, MA
  • NPI 1356642110
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brigham & Womens Hospital, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1790717650
  Care Compare affiliation
• Brigham and Women'S Faulkner Hospital, Inc

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1578677811
  Care Compare affiliation
• Brigham and Women'S Faulkner Hospital, Inc.

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1033121025
  Care Compare affiliation

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1821745985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PLEASANT ST APT A134",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722470",
            "telephone_number": "304-549-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BOYLSTON ST STE 530",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672475",
            "telephone_number": "617-732-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ALEXANDRA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Seth Einbinder, MD MPH
• Erika Susan Bolduc El Madi, PA-C, MPH
• Lindsay Sandra Elba
• Mark J Ellenbogen, M.D.
• Kelli Ellingson, STUDENT
• Emily Engeland, PT
• Epoch Senior Healthcare of Chestnut Hill, LLC
• Epoch SL VIII Inc
• Epoch SLV LLL
• Ronald Brian Etskovitz, D.P.M.

• Physician Assistant in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.