Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelsey Polikowski

Individual provider Nurse Practitioner · NPI 1104600378

Kelsey Polikowski is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with The General Hospital Corporation, a 1,276-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-1721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2288301 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2288301 (MA)

Record details

NPI number1104600378
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The General Hospital Corporation — 1276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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