NPIMap

Individual provider Active NPI

Kelly L Collins, PA-C

  • Physician Assistant
  • Somersworth, NH
National Provider Identifier
1841676202
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1211 Issued in NH
Practice address
7 Marsh Brook Dr Ste 205
Somersworth, NH 03878-6523
Phone
(603) 742-2007
Fax
(603) 749-4605
NPI assigned
Aug 7, 2015
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 1211 NH Primary

Addresses

Primary practice location

7 Marsh Brook Dr Ste 205
Somersworth, NH 03878-6523

Mailing address

7 Marsh Brook Dr
Somersworth, NH 03878-6523
Phone (603) 742-2007

Other identifiers 1

IdentifierTypeStateIssuer
3106098MedicaidNH

Other names 1

  • Kelly Mohns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117001687 NH Practitioner - Physician Assistant 4183924186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

65 Calef Hwy
Lee, NH 03861-6703

7 Marsh Brook Dr
Somersworth, NH 03878-6523
Phone (603) 742-4222

789 Central Ave
Dover, NH 03820-2526

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1211NHMDSpeech-Language Pathologist
2377SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Nov 12, 2019 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
#2
Dover, NH 03820
Phone (603) 609-6250

65 Calef Hwy
Ste 200
Lee, NH 03861
Phone (603) 868-3300

65 Route 125
Ste 206
Lee, NH 03861
Phone (603) 868-1732

67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529

7 Marsh Brook Dr
Somersworth, NH 03878
Phone (603) 740-2250

7 Marsh Brook Dr
Ste 100
Somersworth, NH 03878

7 Marsh Brook Dr
Ste 205
Somersworth, NH 03878

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mohns.kelly.wdh@direct.partners.masshiway.net

Organizations & group practices 4

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 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1841676202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MARSH BROOK DR",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038786523",
            "telephone_number": "603-742-2007",
            "fax_number": "603-749-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MARSH BROOK DR STE 205",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038786523",
            "telephone_number": "603-742-2007",
            "fax_number": "603-749-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3106098",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MOHNS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somersworth, NH

Sources for this page

Verify at the official NPI Registry.