Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669692661 Individual Practitioner Female Practitioner

Shan Marie Stoffolano , MS, CPNP

Nurse Practitioner • Boston, MA

Professional Overview & Biography Verified Profile Summary

Shan Stoffolano, MS, CPNP is a registered healthcare professional specializing in Nurse Practitioner in Boston, MA. Practice services are available at 55 FRUIT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St

Boston, MA 021142621

Telephone 7816742900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
972 Specialists

Practicing in Boston, MA (3545 Statewide)

Telehealth Adoption Rate
24.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 235651-NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License MA 235651-NP

Definition to come...

Secondary Practice Locations

133 Brookline Ave

Boston, MA 022153904

Phone: 6174211000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Francine Hennessey , MD

Pediatrics - Adolescent Medicine

NPI 1023081320

Doctor of Medicine (M.D.)

NPI 1093786402

Doctor of Medicine (M.D.)

Tara Stevens , MSN, CPNP

Nurse Practitioner - Pediatrics

NPI 1144326059

Master of Science in Nursing, Certified Pediatric Nurse Practitioner

NPI 1316384431

Doctor of Medicine (M.D.)

Elaine Rothstein , NP

Registered Nurse - Pediatrics

NPI 1659557452

Nurse Practitioner

Dr. Allison Rodgers , DNP, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1710755301

Doctor of Nursing Practice, CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 23, 2026

Registered at 55 FRUIT ST, BOSTON, MA 021142621 (Tel: 7816742900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2026

Nurse Practitioner (License #235651-NP in MA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2021

Nurse Practitioner (License #235651-NP in MA)

📍
Updated Practice Location August 30, 2021

Registered at 74 LOOMIS ST, BEDFORD, MA 017302248 (Tel: 7816742900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2021

Nurse Practitioner (License #235651-NP in MA)

📍
Updated Practice Location February 24, 2021

Registered at 26 QUEEN ST, WORCESTER, MA 016102478 (Tel: 5088607700)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 22 HILLSIDE AVE, GROTON, MA 014501284 (Tel: 9784483388)

📍
Updated Business Mailing Address July 08, 2007

Registered at 62 PARK ST, PEPPERELL, MA 014631117 (Tel: 9784330590)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHAN STOFFOLANO, M.S., C.P.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #235651-NP in MA)

🟢
Initial NPI Registration & Enumeration May 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669692661
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: January 23, 2026
Sole Proprietor: No

Mailing Address

62 Park St

Pepperell, MA 014631117

Phone: 9784330590

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.