Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Kellogg, PA

Individual provider Physician Assistant · NPI 1861402315

Amy Kellogg, PA is a Physician Assistant in Worcester, Massachusetts. Qualified in 2004, 22 years ago. Practices with Brigham and Womens Physicians Organization Inc, a 2,916-clinician group and accepts Medicare assignment. Licensed in Massachusetts, Maryland and Rhode Island.

Years since qualifying
22
Licensed in
MA, MD, RI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

630 Plantation St
Worcester, MA 01605-2038
Phone: (508) 595-2505
Fax: (508) 854-0650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1870 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 184767 (MD)
Physician Assistant Taxonomy 363A00000X · Licence PA00738 (RI)

Record details

NPI number1861402315
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESDecember 3, 2014
Mailing address630 Plantation St, Worcester, MA 01605-2038

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Brigham And Womens Physicians Organization Inc — 2916 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Worcester