Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Anthony Pelletier, PA-C

Individual provider Physician Assistant · NPI 1194362632

Kevin Anthony Pelletier, PA-C is a Physician Assistant in Springfield, Massachusetts. Qualified in 2021, 5 years ago. Practices with Pioneer Valley Urology, PC, a 15-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Wason Ave Ste 120
Springfield, MA 01107-1179
Phone: (413) 241-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA8182 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA8182 (MA)

Record details

NPI number1194362632
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 3, 2019
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pioneer Valley Urology, Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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