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KELLY ROBERTSON MD
NPI 1205539871
Student in an Organized Health Care Education/Training Program in Springfield, MA

Active since March 23, 2023PECOS Enrolled
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET, SPRINGFIELD, MA 01199(413) 794-0000 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Robertson Md NPPES

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

KELLY ROBERTSON MD (NPI 1205539871) is an individual student in an organized health care education/training program in Springfield, Massachusetts and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205539871
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY ROBERTSONCredential: MD
Location AddressBAYSTATE MEDICAL CENTER 759 CHESTNUT STREETSpringfield, MA 01199-0001
Mailing AddressBaystate Medical Center 759 Chestnut StreetSpringfield, MA 01199-0001 · (413) 794-0000
Phone(413) 794-0000
Sole ProprietorNo
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
✔ NPI 1205539871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET, Springfield, MA 01199
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Robertson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ANTOINETTE CARMELA PACIFICO MD
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
SUMI PIYA
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
DR. OMAR HAIDER MD
Internal Medicine
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
MARIA MAE STEVENS
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 749-0000
YAMNA JADOON
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
JESSICA BO KAH LEUNG
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
DR. CLAUDIA REBEKKA VOGELGSANG
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
DR. ALESSANDRA DE FRANCO MD
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000

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 Kelly Robertson's NPI number?

The NPI number for Kelly Robertson is 1205539871. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Kelly Robertson located?

Kelly Robertson practices at Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199. The listed phone number is (413) 794-0000.

What is Kelly Robertson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Robertson enrolled in Medicare?

Yes. Kelly Robertson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Robertson was last updated on March 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.