KELLY PANDOLFO PA-C
NPI 1619651528
Physician Assistant in Portsmouth, NH

Active since June 12, 2023PECOS EnrolledAccepts Medicare Assignment
1900 LAFAYETTE RD, PORTSMOUTH, NH 03801(603) 431-1121 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 25, 2025, Jun 24, 2025, Jun 12, 2023 (3 updates tracked since 2023).

About Kelly Pandolfo Pa-c NPPES

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

KELLY PANDOLFO PA-C (NPI 1619651528) is an individual physician assistant in Portsmouth, New Hampshire, licensed in New Hampshire (3058) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619651528
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY PANDOLFOCredential: PA-C
Location Address1900 LAFAYETTE RDPortsmouth, NH 03801-5679
Mailing Address13 Alexander DrHampton, NH 03842-2309
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 12, 2023
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
NPI 1619651528 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 NH · 3058
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.

1900 LAFAYETTE RD, Portsmouth, NH 03801

Other Names 1

Former Name (1)Kelly Arsenault Pa-c

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

Kelly Pandolfo 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 ID8022523588
PECOS Enrollment IDI20250714002872, I20260121000174
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 2

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant
1900 LAFAYETTE RD, STE A
PORTSMOUTH, NH 03801
Clinic/Center (Magnetic Resonance Imaging (MRI))
1900 LAFAYETTE RD, SUITE B
PORTSMOUTH, NH 03801
Orthopaedic Surgery
1900 LAFAYETTE RD, SUITE A
PORTSMOUTH, NH 03801
Physician Assistant (Surgical)
1900 LAFAYETTE RD, SUITE A
PORTSMOUTH, NH 03801
Orthopaedic Surgery
1900 LAFAYETTE RD
PORTSMOUTH, NH 03801
Orthopaedic Surgery
1900 LAFAYETTE RD, SUITE A
PORTSMOUTH, NH 03801
Physical Therapist
1900 LAFAYETTE RD, STE C
PORTSMOUTH, NH 03801
Orthopaedic Surgery
1900 LAFAYETTE RD, SUITE A
PORTSMOUTH, NH 03801

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 Pandolfo's NPI number?

The NPI number for Kelly Pandolfo is 1619651528. It was assigned to this individual provider in the NPPES registry on June 12, 2023. The provider is also known as Kelly Arsenault Pa-C.

Where is Kelly Pandolfo located?

Kelly Pandolfo practices at 1900 Lafayette Rd, Portsmouth, NH 03801. The listed phone number is (603) 431-1121.

What is Kelly Pandolfo's specialty?

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

Is Kelly Pandolfo enrolled in Medicare?

Yes. Kelly Pandolfo 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 Kelly Pandolfo affiliated with any hospitals?

According to CMS data, Kelly Pandolfo is affiliated with York Hospital and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Pandolfo was last updated on November 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.