Active NPI
Marcy Ann Kesilewski, PA-C
- Physician Assistant
- Hamden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001413
- Practice address
- 275 Mount Carmel Ave BLDG 4
Hamden, CT 06518-1905 - Phone
- (203) 582-8545
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001413 | CT | Primary |
Addresses
Primary practice location
275 Mount Carmel Ave BLDG 4
Hamden, CT 06518-1905
Mailing address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (203) 407-4050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2V5067 | Other | CT | HEALTHNET |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1413 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Physician Assistant | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Medhelp PC | Past | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Past | Accepting new patients |
Locations
385 W Main St
Avon, CT 06001
Phone (860) 777-1280
1559 Sullivan Ave
South Windsor, CT 06074
Phone (860) 696-2350
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Fl 1
Wethersfield, CT 06109
Phone (860) 972-6970
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
Interoperability endpoints
- marcy.carrera@xdr.hhchealthdirect.org
- https://api.platform.athenahealth.com/17217/brand/1/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Physician Assistant
-
- Internal Medicine Physician
- Plantsville, CT
- NPI 1548305584
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
-
- Urgent Care Clinic/Center
- Bristol, CT
- NPI 1053302646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1073580833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094337",
"telephone_number": "203-407-4050",
"fax_number": "203-616-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 MOUNT CARMEL AVE BLDG 4",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065181905",
"telephone_number": "203-582-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESILEWSKI",
"first_name": "MARCY",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "001413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V5067",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.