Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KAITLYN WILLIS PA
NPI 1285531236
Physician Assistant in New London, CT

Active since October 22, 2026
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711 Get Directions Write a Review

NPPES record added: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaitlyn Willis Pa NPPES

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

KAITLYN WILLIS PA (NPI 1285531236) is an individual physician assistant in New London, Connecticut, licensed in Connecticut (7932) and active in the NPI registry since October 2026. She maintains a secondary practice location in Groton.

NPPES Registry Identity

NPI1285531236
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN WILLISCredential: PA
Location Address365 MONTAUK AVENew London, CT 06320-4769
Mailing Address4 White Tail CirCharlestown, RI 02813-2750
Sole ProprietorNo
Enumeration DateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ NPI 1285531236 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 CT · 7932
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.
365 MONTAUK AVE, New London, CT 06320

Secondary Practice Location 1

Location 152 Hazelnut Hill RdGroton, CT 06340-3268 · Phone (860) 446-8265

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.

Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Pharmacist (Pharmacotherapy)
365 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320

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 Kaitlyn Willis's NPI number?

The NPI number for Kaitlyn Willis is 1285531236. It was assigned to this individual provider in the NPPES registry on October 22, 2026.

Where is Kaitlyn Willis located?

Kaitlyn Willis practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Kaitlyn Willis'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 Kaitlyn Willis was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.