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

Individual provider Physician Assistant · NPI 1851596704

Kolleen M Deandrade, PA-C is a Physician Assistant in Fall River, Massachusetts. Qualified in 1990, 36 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
36
Licensed in
MA, RI
In the registry since
2007
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

363 Highland Ave
Fall River, MA 02720-3703
Phone: (508) 973-7018
Fax: (508) 973-7147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 732 Harrison Ave, 3rd Floor West, Boston, MA 02118 — (617) 638-7350
  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-7585
  • 2 Dudley St, Providence, RI 02905-3236 — (401) 444-5891

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA278 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA01828 (RI)

Record details

NPI number1851596704
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fall River