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

Individual provider Physician Assistant · NPI 1033535133

Kiersten Revord, PA-C is a Physician Assistant in Springfield, Massachusetts. Qualified in 2013, 13 years ago. Practices with New England Dermatology PC, a 21-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2014
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

3455 Main St Ste 5
Springfield, MA 01107-1147
Phone: (413) 733-9600
Fax: (413) 732-6534
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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 PA6000 (MA)

Record details

NPI number1033535133
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2014
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice New England Dermatology Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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