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

Kate Rudolph

Individual provider Physician Assistant · NPI 1427612829

Kate Rudolph is a Physician Assistant in Peabody, Massachusetts. Qualified in 2020, 6 years ago. Practices with Mass General Brigham Medical Group Northern Massachusetts Inc, a 819-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2019
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Practice location Address checks out

4 Centennial Dr Ste 201
Peabody, MA 01960-7930
Phone: (978) 531-0800
Fax: (978) 531-2929
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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 PAT0084 (MA)

Record details

NPI number1427612829
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020
Mailing address4 Centennial Dr, Ste 201, Peabody, MA 01960-7930

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mass General Brigham Medical Group Northern Massachusetts Inc — 819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Peabody