Individual provider Active NPI

Amanda Nicole Vegso, PA

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1902339823
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8148 Issued in MA
Practice address
1254 Boylston St
Boston, MA 02215-4401
Phone
(508) 233-9112
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 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 PA8148 MA Primary

Addresses

Primary practice location

1254 Boylston St
Boston, MA 02215-4401

Mailing address

399 Boylston St
Boston, MA 02116-3305
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
I20211117001911 MA Practitioner - Physician Assistant 8224427042 Reassigns benefits to 4 organizations

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
Carbon Health Medical Group of Massachusetts PCGroup PAC ID 3971943606, 30 clinicians

Practice addresses (Care Compare)

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
Carbon Health Medical Group of Florida PA CurrentSince Oct 15, 2024 Accepting new patients
NPI 1518715812 CurrentSince Oct 1, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 15, 2024 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
CVS Clinic PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1254 Boylston St
Boston, MA 02215
Phone (508) 233-9112

75 Francis St
Boston, MA 02115

399 Boylston St
Boston, MA 02116
Phone (617) 852-8390

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

Interoperability endpoints

  • Direct secure messaging: vegso.amanda.bwh@direct.partners.masshiway.net

Organizations & group practices 6

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1902339823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163305",
            "telephone_number": "857-416-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154401",
            "telephone_number": "508-233-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGSO",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.