KEVIN ANTHONY PELLETIER PA-C
NPI 1194362632
Physician Assistant - Medical in Springfield, MA

Active since December 03, 2019PECOS EnrolledAccepts Medicare Assignment
100 WASON AVE STE 120, SPRINGFIELD, MA 01107(413) 241-2100 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2021, Jun 19, 2021, Dec 3, 2019 (3 updates tracked since 2019).

About Kevin Anthony Pelletier Pa-c NPPES

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

KEVIN ANTHONY PELLETIER PA-C (NPI 1194362632) is an individual medical provider in Springfield, Massachusetts, licensed in Massachusetts (PA8182) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194362632
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN ANTHONY PELLETIERCredential: PA-C
Location Address100 WASON AVE STE 120Springfield, MA 01107-1179
Mailing Address100 Wason Ave Ste 120Springfield, MA 01107-1179 · (413) 272-4427
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 3, 2019
Last NPPES UpdateSeptember 8, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
NPI 1194362632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MA · PA8182
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA8182 (MA)
100 WASON AVE STE 120, Springfield, MA 01107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin Anthony Pelletier Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749687614
PECOS Enrollment IDI20210920001285
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$4.09 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$9.68 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims12 services$6.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Physician Assistant
100 WASON AVE STE 120
SPRINGFIELD, MA 01107
Physician Assistant
100 WASON AVE STE 120
SPRINGFIELD, MA 01107
Physician Assistant
100 WASON AVE STE 120
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
100 WASON AVE STE 120
SPRINGFIELD, MA 01107
Physician Assistant
100 WASON AVE STE 120
SPRINGFIELD, MA 01107
Nurse Practitioner (Family)
100 WASON AVE STE 120
SPRINGFIELD, MA 01107
Nurse Practitioner (Acute Care)
100 WASON AVE STE 120
SPRINGFIELD, MA 01107
Urology
100 WASON AVE STE 120
SPRINGFIELD, MA 01107

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 Kevin Pelletier's NPI number?

The NPI number for Kevin Pelletier is 1194362632. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Kevin Pelletier located?

Kevin Pelletier practices at 100 Wason Ave Ste 120, Springfield, MA 01107. The listed phone number is (413) 241-2100.

What is Kevin Pelletier's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Pelletier enrolled in Medicare?

Yes. Kevin Pelletier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Pelletier accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin Pelletier as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Pelletier affiliated with any hospitals?

According to CMS data, Kevin Pelletier is affiliated with Cooley Dickinson Hospital Inc,the, Baystate Franklin Medical Center, Berkshire Medical Center, Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Pelletier was last updated on September 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.