Individual provider Active NPI

Chelsey Paholski Gavelek, PA-C

  • Medical Physician Assistant
  • Wethersfield, CT
National Provider Identifier
1023558723
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3697 Issued in CT
Practice address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone
(860) 972-6977
NPI assigned
Feb 28, 2017
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3697 CT
Medical Physician Assistant 363AM0700X 3697 CT Primary

Addresses

Primary practice location

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Mailing address

1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337
Phone (860) 972-6977

Other practice location 1

275 Mount Carmel Ave
Hamden, CT 06518-1961
Phone (203) 582-8742

Other names 1

  • Chelsey Marie Paholski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170315001403 CT Practitioner - Physician Assistant 4284919168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 696-4306

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3697CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Hartford Healthcare Medical Group, Inc Physician Assistant CurrentSince Apr 10, 2017 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC Current Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 1, 2022 Accepting new patients
Starling Physicians, PLLC Medical CurrentSince Nov 1, 2018 Accepting new patients
Starling Physicians PLLC CurrentSince Nov 1, 2018 Accepting new patients
Hartford Hospital Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

305 Sherman Ave
Hamden, CT 06518

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023

42 Town St
Ste 300
Norwich, CT 06360
Phone (860) 886-0567

2110 Silas Deane Hwy
Rocky Hill, CT 06067

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1025 Silas Deane Hwy
Ste 101
Wethersfield, CT 06109
Phone (877) 707-4442

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1023558723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HARTFORD HEALTHCARE-CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-6977",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Mount Carmel Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065181961",
            "country_code": "US",
            "telephone_number": "203-582-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVELEK",
        "first_name": "CHELSEY",
        "middle_name": "PAHOLSKI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3697",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "PAHOLSKI",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.