KIMBERLY L BELLAVANCE MPAS
NPI 1962772939
Physician Assistant - Surgical in Hartford, CT
About Kimberly L Bellavance Mpas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY L BELLAVANCE MPAS (NPI 1962772939) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (2714) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Kimberly L Bellavance Mpas 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
HARTFORD, CT 06105
HARTFORD, CT 06105
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 Kimberly Bellavance's NPI number?
The NPI number for Kimberly Bellavance is 1962772939. It was assigned to this individual provider in the NPPES registry on January 9, 2012.
Where is Kimberly Bellavance located?
Kimberly Bellavance practices at 114 Woodland St Surgery Dept., Hartford, CT 06105. The listed phone number is (860) 714-4694.
What is Kimberly Bellavance's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kimberly Bellavance enrolled in Medicare?
Yes. Kimberly Bellavance 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 Kimberly Bellavance accept?
Health plans from Anthem Blue Cross and Blue Shield list Kimberly Bellavance 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.
When was this NPI record last updated?
The NPPES record for Kimberly Bellavance was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kimberly L Bellavance, MPAS · NPI 1962772939
Surgical physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since January 9, 2012.
## Identity
- **NPI:** 1962772939 (Entity type: Individual)
- **Enumerated:** January 9, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 2714 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 114 WOODLAND ST, SURGERY DEPT., Hartford, CT 06105-1208
- **Phone:** (860) 714-4694 · **Fax:** (860) 714-8096
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962772939) · Data from the CMS NPPES public registry.