Individual provider · Type 1 NPI

Kristen Raust, PA-C

Physician Assistant · Boston, MA

NPI number 1124807102 Active

Practice location

840 Harrison Ave
Boston, MA 02118-2905

Fax (617) 638-6616

Mailing address

960 Massachusetts Avenue, Fl 2
Boston, MA 02118-2690

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA100122 (MA)

Physician Assistant: 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, orde…

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About NPI 1124807102

Kristen Raust, PA-C's National Provider Identifier is 1124807102, issued on Sep 27, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Nov 21, 2025.