Kerriann Welch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4291 Issued in CT

Practice address

357 Hartford Tpke FL 2
Vernon, CT 06066-4838

Phone

(860) 871-9441

Fax

(860) 871-0227

NPI assigned

Oct 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Vernon PLLCGroup PAC ID 2961835798, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.35 of 100Reported as group

Quality

88.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Integrated Dermatology of Vernon, PLLC

  • Dermatology Physician
  • Vernon, CT
  • NPI 1063055853
  Medicare reassignment Care Compare group
• Farmington Valley Dermatology and Surgery, LLC

  • Dermatology Physician
  • Avon, CT
  • NPI 1164835153
  Medicare reassignment

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1235604281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 HARTFORD TPKE FL 2",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664838",
            "telephone_number": "860-871-9441",
            "fax_number": "860-871-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 HARTFORD TPKE FL 2",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664838",
            "telephone_number": "860-871-9441",
            "fax_number": "860-871-0227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 West Avon Road",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060014275",
            "country_code": "US",
            "telephone_number": "860-674-9900",
            "fax_number": "860-678-0036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KERRIANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6766",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Wayman, APRN
• Lina Michelle Weber, PA
• Wednesday Morning LLC
• Howard Kenneth Weiner, M.D.
• Christina Rose Welch, M.A., CCC-SLP
• Kathy Wesniak
• Grace Whalen, OD
• Heather Lindsay Wheeler, MSW
• Paulette Wieland, MS, OTR/L
• Kimberly E Willcox Pappas, PA-C

• Physician Assistant in Vernon, CT
• Providers in Vernon, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.