Individual provider Active NPI

Melissa C Mol-Pelton, PA-C

  • Surgical Physician Assistant
  • Hartford, CT
National Provider Identifier
1760490809
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
001036 Issued in CT
Practice address
32 Seymour St
Hartford, CT 06106-3321
Phone
(860) 972-1128
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2647 MA
Surgical Physician Assistant 363AS0400X 001036 CT Primary

Addresses

Primary practice location

32 Seymour St
Hartford, CT 06106-3321

Mailing address

32 Seymour St
Hartford, CT 06106-3321
Phone (860) 972-1128

Other practice location 1

300 Birnie Ave
Suite 201
Springfield, MA 01107-1107
Phone (413) 785-4666

Other identifiers 10

IdentifierTypeStateIssuer
TINOtherPIONEER
P3511336OtherCTOXFORD HEALTH PLANS
10036OtherCTCONNECTICARE
290001036CT01OtherCTANTHEM BC/BS
TINOtherMULTIPLAN
TINOtherCORVEL
2V6007OtherCTHEALTH NET
TINOtherBERKELY ADMINISTRATORS
TINOtherNORTHEAST HEALTH DIRECT
TINOtherIONTEGRATED HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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
I20050107000396 CT Practitioner - Physician Assistant 4981652815 Reassigns benefits to 1 organization
I20090219000015 MA Practitioner - Physician Assistant 4981652815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Ma LLCGroup PAC ID 8729515507, 16 clinicians

Practice addresses (Care Compare)

150 Flanders Rd
Westborough, MA 01581-1017
Phone (781) 890-2133

53 Southampton Rd
Westfield, MA 01085-1786
Phone (413) 335-2606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2647MAMDBehavioral Analyst
001036CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Hartford Hospital CurrentSince Jan 26, 2026 Accepting new patients
New England Orthopedic Surgeons Physician Assistant CurrentSince Oct 22, 2008 Accepting new patients
Hartford Hospital CurrentSince Jan 26, 2026 Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

32 Seymour St
Hartford, CT 06106
Phone (860) 972-1128

265 Benton Dr
Ste 101
East Longmeadow, MA 01028
Phone (714) 785-4666

325B King St
Ste 101
Northampton, MA 01060

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1760490809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063321",
            "telephone_number": "860-972-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063321",
            "telephone_number": "860-972-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Birnie Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071107",
            "country_code": "US",
            "telephone_number": "413-785-4666",
            "fax_number": "413-846-4756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOL-PELTON",
        "first_name": "MELISSA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2647",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIONEER",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3511336",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "10036",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "290001036CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V6007",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BERKELY ADMINISTRATORS",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHEAST HEALTH DIRECT",
            "identifier": "TIN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IONTEGRATED HEALTH PLAN",
            "identifier": "TIN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.