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KELLEY NGUYEN PA
NPI 1477286789
Physician Assistant - Medical in Springfield, MA

Active since July 05, 2022PECOS EnrolledAccepts Medicare Assignment
3300 MAIN ST, 3RD FL, SUITE C&D, SPRINGFIELD, MA 01107(413) 794-5600(413) 794-7297 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2026, Feb 18, 2025, Jul 5, 2022 (3 updates tracked since 2022).

About Kelley Nguyen Pa NPPES

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

KELLEY NGUYEN PA (NPI 1477286789) is an individual medical provider in Springfield, Massachusetts, licensed in Massachusetts (PA102134) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477286789
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLEY NGUYENCredential: PA
Location Address3300 MAIN ST, 3RD FL, SUITE C&DSpringfield, MA 01107-1112
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700
Phone(413) 794-5600
Fax(413) 794-7297
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 5, 2022
Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1477286789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · PA102134
3300 MAIN ST, Springfield, MA 01107
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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 and accepts Medicare assignment

Kelley Nguyen Pa 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 ID547785792
PECOS Enrollment IDI20251119002846
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

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

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

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.

JOANNE JACKSON NP
Nurse Practitioner (Adult Health)
3300 MAIN ST, 2ND FLOOR, SUITE A
SPRINGFIELD, MA 01107
Hampden County (413) 794-2273
ALANNA SERVANT PA-C
Physician Assistant (Medical)
3300 MAIN ST, SUITE 4D
SPRINGFIELD, MA 01107
Hampden County (413) 794-8336
AUDREY G PSALTIS CNM
Advanced Practice Midwife
3300 MAIN ST, SUITE 4D
SPRINGFIELD, MA 01107
Hampden County (413) 794-8336
BARBARA W GRAVES CNM
Advanced Practice Midwife
3300 MAIN ST, SUTIE 4-D
SPRINGFIELD, MA 01107
Hampden County (413) 794-8336
MUSAB MEDENI ZORLU MD
Psychiatry & Neurology (Neurology)
3300 MAIN ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-5600
MICHELLE F RAPPOLD CNM
Advanced Practice Midwife
3300 MAIN ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-8336
DR. DAVID R. KATTAN MD, MPH
Obstetrics & Gynecology
3300 MAIN ST, 4TH FL, STE D
SPRINGFIELD, MA 01107
Hampden County (413) 794-7045
ANASTASIA SMITH CNM
Advanced Practice Midwife
3300 MAIN ST
SPRINGFIELD, MA 01107
Hampden County (413) 794-7045

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 Kelley Nguyen's NPI number?

The NPI number for Kelley Nguyen is 1477286789. It was assigned to this individual provider in the NPPES registry on July 5, 2022.

Where is Kelley Nguyen located?

Kelley Nguyen practices at 3300 Main St 3rd Fl, Suite C&d, Springfield, MA 01107. The listed phone number is (413) 794-5600.

What is Kelley Nguyen's specialty?

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

Is Kelley Nguyen enrolled in Medicare?

Yes. Kelley Nguyen 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.

Is Kelley Nguyen affiliated with any hospitals?

According to CMS data, Kelley Nguyen is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Kelley Nguyen was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.