Individual provider Active NPI

Kelly Rose Sargent, PA-C

  • Physician Assistant
  • Portsmouth, NH
National Provider Identifier
1295425213
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3046 Issued in NH
Practice address
330 Borthwick Ave Ste 303
Portsmouth, NH 03801-7109
Phone
(603) 431-5205
Fax
(603) 436-4257
NPI assigned
May 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3046 NH Primary

Addresses

Primary practice location

330 Borthwick Ave Ste 303
Portsmouth, NH 03801-7109

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1 Hampton Rd Unit 208
Exeter, NH 03833-4849
Phone (603) 431-5205

Other practice location 2

278 Lafayette Rd Bldg E
Portsmouth, NH 03801-5455
Phone (603) 431-5205

Other practice location 3

750 Central Ave Ste O
Dover, NH 03820-3434
Phone (603) 431-5205

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Kelly.Sargent@forefrontdermatology.emadirect.md
Direct Messaging Address Kelly.Sargent@forefrontdermatology.emadirect.md
Direct Messaging Address Kelly.Sargent@forefrontdermatology.emadirect.md
Direct Messaging Address Kelly.Sargent@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240510000813 WA Practitioner - Physician Assistant 1850732637 Reassigns benefits to 1 organization
I20250812002294 NH Practitioner - Physician Assistant 1850732637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology - New Hampshire, PLLCGroup PAC ID 8729449152, 10 clinicians

Practice addresses (Care Compare)

750 Central Ave
Suite O
Dover, NH 03820-3434
Phone (603) 431-5205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3046NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hosp Dist 1 CurrentSince Mar 20, 2024 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Mar 20, 2024 Accepting new patients

Locations

100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

Interoperability endpoints

  • Direct secure messaging: kelly.sargent@forefrontdermatology.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1295425213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 303",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017109",
            "telephone_number": "603-431-5205",
            "fax_number": "603-436-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hampton Rd Unit 208",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "NH",
            "postal_code": "038334849",
            "country_code": "US",
            "telephone_number": "603-431-5205",
            "fax_number": "603-436-4257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Lafayette Rd Bldg E",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038015455",
            "country_code": "US",
            "telephone_number": "603-431-5205",
            "fax_number": "603-436-4257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Central Ave Ste O",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038203434",
            "country_code": "US",
            "telephone_number": "603-431-5205",
            "fax_number": "603-436-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "KELLY",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "3046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kelly.Sargent@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "278 Lafayette Rd Bldg E",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038015455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kelly.Sargent@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "330 Borthwick Ave Ste 303",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038017109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kelly.Sargent@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1 Hampton Rd Unit 208",
            "city": "Exeter",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038334849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kelly.Sargent@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "750 Central Ave Ste O",
            "city": "Dover",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038203434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.