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

Kelli Jean Moylan, PA-C

Individual provider Medical Physician Assistant · NPI 1144778192

Kelli Jean Moylan, PA-C is a Physician Assistant in St Johnsbury, Vermont. Graduated from University of Utah School of Medicine in 2016, 10 years ago. Practices with Northern Counties Health Care Inc, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah and Vermont.

Years since qualifying
10
Trained at
University of Utah School of Medicine
Licensed in
UT, VT
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

457 Railroad St Ste 2
St Johnsbury, VT 05819-1643
Phone: (802) 633-6351
Fax: (802) 748-0977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 137 Main St, Newport, VT 05855-4415 — (802) 995-2412

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 055.0031485 (VT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10094033-1206 (UT)

Record details

NPI number1144778192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Northern Counties Health Care Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare