Active NPI
Kelsey Ejzak Caulfield, PA
- Medical Physician Assistant
- Portland, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2312
- Practice address
- 270 Main St Ste a
Portland, CT 06480-1836 - Phone
- (860) 358-5040
- NPI assigned
- Aug 20, 2009
- Last updated
- Jun 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | 2312 | CT | Primary |
Addresses
Primary practice location
270 Main St Ste a
Portland, CT 06480-1836
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4870
Other practice location 1
42 Town St
Norwich, CT 06360-2316
Phone (860) 480-0135
Other practice location 2
27 William F Palmer Rd
Moodus, CT 06469-1132
Phone (860) 358-5220
Other names 1
- Miss Kelsey Elizabeth Ejzak
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
27 William F Palmer Rd
Moodus, CT 06469-1132
Phone (860) 358-5220
270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2312 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Physician Assistant | Current | Accepting new patients |
| MHS Primary Care Inc | Physician Assistant | Current | Accepting new patients |
| Lawrence and Memorial Hospital, Inc. | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| MHS Primary Care | Physician Assistant | Current | Accepting new patients |
| MHS Primary Care Inc | Physician Assistant | Current | Accepting new patients |
| MHS Primary Care, Inc | Physician Assistant | Past | Accepting new patients |
Locations
385 W Main St
Avon, CT 06001
Phone (860) 777-1280
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
896 Washington St
Middletown, CT 06457
Phone (860) 788-3632
27 William F Palmer Rd
Moodus, CT 06469
Phone (860) 358-5220
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
Interoperability endpoints
- kcaulfield79980@middlesexhealthprd.direct-ci.com
Organizations & group practices 11
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.
-
dba Middlesex Hospital Urgent Care
- Urgent Care Clinic/Center
- Old Saybrook, CT
- NPI 1093138935
Physician Assistant
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
dba Hartford HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Physician Assistant
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
dba Lawrence and Memorial Hospital
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
-
- Emergency Medicine Physician
- Bristol, CT
- NPI 1285713099
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
dba Yale New Haven Health Pharmacy - Lawrence and Memorial Hospital
- Community/Retail Pharmacy
- New London, CT
- NPI 1184402331
-
dba Middlesex Health Concierge Medicine
- Internal Medicine Physician
- Essex, CT
- NPI 1750276655
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1245462589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-358-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 MAIN ST STE A",
"city": "PORTLAND",
"state": "CT",
"postal_code": "064801836",
"telephone_number": "860-358-5040"
}
],
"practiceLocations": [
{
"address_1": "42 Town St",
"address_purpose": "LOCATION",
"city": "Norwich",
"state": "CT",
"postal_code": "063602316",
"country_code": "US",
"telephone_number": "860-480-0135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27 William F Palmer Rd",
"address_purpose": "LOCATION",
"city": "Moodus",
"state": "CT",
"postal_code": "064691132",
"country_code": "US",
"telephone_number": "860-358-5220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAULFIELD",
"first_name": "KELSEY",
"middle_name": "EJZAK",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "2312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "EJZAK",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.