Kelsey Desroches

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

103 Providence Hwy
East Walpole, MA 02032-1512

Phone

(781) 255-0500

NPI assigned

Jun 6, 2023

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woonsocket Urgent Care PCGroup PAC ID 1951305168, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Woonsocket Urgent Care, PC

  dba Bellingham Urgent Care

  • Urgent Care Clinic/Center
  • Bellingham, MA
  • NPI 1437628385
  Medicare reassignment NPD
• Woonsocket Urgent Care, PC

  dba Norwood Urgent Care and Primary Care Center

  • Internal Medicine Physician
  • East Walpole, MA
  • NPI 1881929586
  Medicare reassignment NPD
• Woonsocket Urgent Care PC

  dba Natick Urgent Care

  • Urgent Care Clinic/Center
  • Natick, MA
  • NPI 1780039966
  NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1235823840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROVIDENCE HWY",
            "city": "EAST WALPOLE",
            "state": "MA",
            "postal_code": "020321512",
            "telephone_number": "781-255-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROVIDENCE HWY",
            "city": "EAST WALPOLE",
            "state": "MA",
            "postal_code": "020321512",
            "telephone_number": "781-255-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROCHES",
        "first_name": "KELSEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Caulfield, M.ED.
• Color the Vision Counseling and Consulting, LLC
• Emily Debruin, PT, DPT
• Erin Kate Deehan, LICSW
• Adilson Delatorre
• Tina Christine Dicicco, RN
• Samantha Fonseca-Moreira
• Christopher David Fries Jr., PA-C
• Good Sleep Solutions LLC
• Yusef Haj-Darwish, MD

• Physician Assistant in East Walpole, MA
• Providers in East Walpole, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.