Kelsey Anita Allen

Key facts

NPI

1326774282

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

License

6672 (CT)

Practice address

1 Hospital PLZ
Stamford, CT 06902-3602

Phone

(203) 276-1000

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

No

Organizations & group practices 6

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.

• Northeast Medical Group, Inc. Internal Medicine Physician · Bridgeport, CT · NPI 1043278351
  Medicare reassignment Care Compare group NPD CT
• Stamford Health Medical Group Inc General Practice Physician · Stamford, CT · NPI 1154633980
  Medicare reassignment Care Compare group CT
• Mill Hill Medical Consultants Inc Hospitalist Physician · Greenwich, CT · NPI 1841520293
  NPD
• Family Care Centers Inc. Internal Medicine Physician · E Stroudsburg, PA · NPI 1669563037
  NPD
• Lehigh Valley Physician Group Family Medicine Physician · East Stroudsburg, PA · NPI 1245093368
  NPD
• Lehigh Valley Physician Group Registered Dietitian · Allentown, PA · NPI 1790073963
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Stamford Hospital General Acute Care Hospital · Stamford, CT · NPI 1356331425
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stamford Health Medical Group Inc (442 clinicians)
Northeast Medical Group Inc (1,357 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stamford Hospital Hospital · Stamford, CT · CCN 070006

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 19, 2024.

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1326774282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-7470",
            "fax_number": "203-276-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-6986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KELSEY",
        "middle_name": "ANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064125",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "6672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

• All Bright Dental Spa PC
• All Class Ventures LLC
• All Dental Care
• Allen I. Troy, M.D., P.C.
• Barbara L Allen, M.D.
• Noakita Allen, RN
• Allercenter 1 LLC
• Allergy & Asthma Associates of Stamford, P.C/
• Allergy & Asthma Center of Stamford
• Janaina T Allimant

All providers in Stamford, CT · Medical Physician Assistant in Connecticut