KRISTEN ANN KOTSOPOULOS PA-C
NPI 1124634720
Physician Assistant in Worcester, MA

Active since September 18, 2020
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-0605(508) 856-1574 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2021, Dec 22, 2020, Sep 18, 2020 (3 updates tracked since 2020).

About Kristen Ann Kotsopoulos Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN ANN KOTSOPOULOS PA-C (NPI 1124634720) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA7777) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1124634720
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN ANN KOTSOPOULOSCredential: PA-C
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348
Fax(508) 856-1574
Sole ProprietorNo
Enumeration DateSeptember 18, 2020
Last NPPES UpdateMarch 30, 20213 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1124634720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA7777
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
55 LAKE AVE N, Worcester, MA 01655

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Kotsopoulos's NPI number?

The NPI number for Kristen Kotsopoulos is 1124634720. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Kristen Kotsopoulos located?

Kristen Kotsopoulos practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-0605.

What is Kristen Kotsopoulos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kristen Kotsopoulos was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.