IndividualActive
Ellen Proeung, PA
NPI 1083019764 · Physician Assistant · Boston, MA
Ellen Proeung, PA is a Physician Assistant provider in Boston, MA (NPI 1083019764).
Provider details
- NPI number
- 1083019764
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA5162 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
75 Francis St
Boston, MA 02115-6110
Phone: (617) 632-3206
Street-level locationGet directions
Mailing address
75 Francis St
Boston, MA 02115-6110
Registry dates
- Enumerated
- 2014-10-24
- Last updated
- 2014-10-24
Frequently asked questions
- What is Ellen Proeung's NPI number?
- Ellen Proeung's National Provider Identifier (NPI) is 1083019764, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellen Proeung's specialty?
- Ellen Proeung is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ellen Proeung located?
- Ellen Proeung's practice location on file with NPPES is 75 Francis St, Boston, MA 02115-6110.
- What is Ellen Proeung's phone number?
- The practice phone number listed in the NPPES registry for Ellen Proeung is (617) 632-3206.
- Is Ellen Proeung's NPI active?
- Yes — Ellen Proeung's NPI (1083019764) is active in the NPPES registry as of the last update on 2014-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.