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

Individual provider Physician Assistant · NPI 1477969186

Kristen Leigh Easey Wackelin, PA-C is a Physician Assistant in Enfield, Connecticut. Qualified in 2014, 12 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
12
Licensed in
CT, FL
In the registry since
2014
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

7 Elm St Ste 201
Enfield, CT 06082-3670
Phone: (860) 636-2010
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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 6200 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9108005 (FL)

Record details

NPI number1477969186
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2014
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Enfield