Individual provider Active NPI

Katelyn Palladino, PA-C

  • Medical Physician Assistant
  • Bristol, CT
National Provider Identifier
1780133215
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3685 Issued in CT
Practice address
22 Pine St
Bristol, CT 06010-6948
Phone
(860) 229-8346
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3685 CT Primary

Addresses

Primary practice location

22 Pine St
Bristol, CT 06010-6948

Mailing address

40 Colton St
Farmington, CT 06032-2321
Phone (860) 205-6063

Other names 1

  • Katelyn Rivers Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021000695 CT Practitioner - Physician Assistant 7719265081 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians
Vein Centers, LLCGroup PAC ID 6800124801, 6 clinicians

Practice addresses (Care Compare)

1008 S Main St
Cheshire, CT 06410-3420
Phone (475) 244-6051

1025 Silas Deane Hwy
Wethersfield, CT 06109-4223
Phone (860) 696-2400

112 S Main St
Torrington, CT 06790-6429
Phone (860) 387-4365

1445 New Britain Ave
West Hartford, CT 06110-1659
Phone (860) 317-9787

22 Pine St
Bristol, CT 06010-6948
Phone (844) 868-1001

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

54 Hazard Ave
Enfield, CT 06082-3845
Phone (860) 787-5780

775 Queen St
Southington, CT 06489-1531
Phone (860) 777-1281

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
82.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3685CTMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: katelyn.rivers@xdr.hhchealthdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1780133215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COLTON ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322321",
            "telephone_number": "860-205-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PINE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106948",
            "telephone_number": "860-229-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLADINO",
        "first_name": "KATELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "RIVERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.