Individual provider Active NPI

Taylor Kelley

  • Surgical Physician Assistant
  • Bloomfield, CT
National Provider Identifier
1821580663
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
35 Jolley Dr Ste 301
Bloomfield, CT 06002-4228
Phone
(860) 242-3000
NPI assigned
Jun 6, 2018
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

35 Jolley Dr Ste 301
Bloomfield, CT 06002-4228

Mailing address

7 Diamond Dr
Enfield, CT 06082-5632
Phone (860) 729-6195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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
I20181227001407 MA Practitioner - Physician Assistant 0840535506 Reassigns benefits to 1 organization
I20190403000889 CT Practitioner - Physician Assistant 0840535506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics New EnglandGroup PAC ID 9335108547, 19 clinicians

Practice addresses (Care Compare)

224 Hartford Tpke
Vernon, CT 06066-4763
Phone (860) 728-6740

35 Jolley Dr
Suite 301
Bloomfield, CT 06002-4228
Phone (860) 242-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics New England CurrentSince Feb 7, 2019 Accepting new patients
Advanced Orthopedics New England CurrentSince Feb 7, 2019 Accepting new patients

Locations

35 Jolley Dr
Ste 301
Bloomfield, CT 06002
Phone (860) 242-3000

1000 Asylum Ave
Ste 2126
Hartford, CT 06105
Phone (860) 242-3000

Interoperability endpoints

  • Direct secure messaging: taylor.kelly.1@27677.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1821580663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DIAMOND DR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825632",
            "telephone_number": "860-729-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR STE 301",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024228",
            "telephone_number": "860-242-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.