Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376335216 Individual Practitioner Female Practitioner

Elise Keni Wardell , PA-C

Physician Assistant • Boston, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Elise Wardell, PA-C is a certified Physician Assistant practicing in Boston, MA. With approximately 1 years of clinical experience since completing medical education in 2025, Elise Wardell delivers high-quality medical care to the local community at 840 HARRISON AVE.

Elise Wardell is affiliated with Boston University General Surgical Associates, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

840 Harrison Ave
Menino Bldg.

Boston, MA 02118

Telephone 6176388609
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boston, MA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -6.9 yrs vs City Avg
City Avg: 7.9 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
1664 Specialists

Practicing in Boston, MA (4746 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wardell (1 Years) 1 Yrs
Boston Specialty Average (7.9 Years) 7.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA101751

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110222918A (MA)

Hospital & Practice Group Affiliations

Boston University General Surgical Associates, Inc.

1 Boston Medical Ctr Pl, Boston, MA 021182908

Phone: 6176388609

Boston University General Surgical Associates, Inc.

1 Boston Medical Ctr Pl, Boston, MA 021182908

Phone: 6176388605

Boston University General Surgical Associates, Inc.

732 Harrison Ave, Boston, MA 021182309

Boston University General Surgical Associates, Inc.

732 Harrison Ave Fl 3, Boston, MA 021182309

Phone: 6176387350

Secondary Practice Locations

725 Albany Street, Suite 3b, Shapiro Bldg.

Boston, MA 02118

Phone: 6174144861

1678 Asylum Ave

West Hartford, CT 061172764

Phone: 8602324571

Practice Associates & Co-Workers

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

17 Associated Practitioners
Bridget Babich-Wydysh , PA-C

Physician Assistant

NPI 1003383506

Physician Assistant (Certified)

Alexander Oliver , PA-C

Physician Assistant

NPI 1023779857

Physician Assistant (Certified)

Darlene Kamel , NP

Nurse Practitioner - Acute Care

NPI 1063558740

Nurse Practitioner

Jennifer Hichborn , PA-C

Physician Assistant

NPI 1225413826

Physician Assistant (Certified)

J. Todd Steinwagner , PA-C

Physician Assistant

NPI 1245261528

Physician Assistant (Certified)

Shannon Forlivio , PA-C

Physician Assistant

NPI 1316660558

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 17, 2025

Registered at 840 HARRISON AVE, MENINO BLDG., BOSTON, MA 02118 (Tel: 6176388609)

📍
Updated Business Mailing Address September 17, 2025

Registered at 960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 021182690

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2025

Physician Assistant (License #PA101751 in MA)

NPI Profile Active May 19, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2025

Registered at 1678 ASYLUM AVE, WEST HARTFORD, CT 061172764 (Tel: 8602324571)

📍
Updated Business Mailing Address May 19, 2025

Registered at 18 WAKE ROBIN LN, SHELTON, CT 064842005 (Tel: 2033947582)

👤
Provider Name / Credentials Updated May 19, 2025

Recorded as ELISE WARDELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2025

Physician Assistant (License #1234380 in CT)

🟢
Initial NPI Registration & Enumeration May 19, 2025

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: 1376335216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2025
Last Update: September 17, 2025
Sole Proprietor: No

Mailing Address

960 Massachusetts Avenue, Fl 2

Boston, MA 021182690

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.