Individual provider Active NPI

Kira Mesman-Hallman, PA-C

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1932759917
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
49 Brimmer St Apt 9
Boston, MA 02108-1039
Phone
(858) 822-8810
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 Primary

Addresses

Primary practice location

49 Brimmer St Apt 9
Boston, MA 02108-1039

Mailing address

49 Brimmer St Apt 9
Boston, MA 02108-1039
Phone (858) 822-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230313002739 CA Practitioner - Physician Assistant 6002243227 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61856CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Psychiatry Inc., a Professional Medical Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kira.mesman-hallman.1@23821.direct.athenahealth.com

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1932759917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BRIMMER ST APT 9",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021081039",
            "telephone_number": "858-822-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BRIMMER ST APT 9",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021081039",
            "telephone_number": "858-822-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESMAN-HALLMAN",
        "first_name": "KIRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.