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

Kimberly L Bellavance, MPAS

Individual provider Surgical Physician Assistant · NPI 1962772939

Kimberly L Bellavance, MPAS is a Physician Assistant in Hartford, Connecticut. Qualified in 2011, 15 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2012

Practice location Address checks out

114 Woodland St Surgery Dept
Hartford, CT 06105-1208
Phone: (860) 714-4694
Fax: (860) 714-8096
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2714 (CT)

Record details

NPI number1962772939
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS
Sole proprietorNo
NPI enumeratedJanuary 9, 2012
Last updated in NPPESFebruary 13, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Hartford