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

Individual provider Physician Assistant · NPI 1033189352

Mrs. Kelley Ann Prendergast, PA is a Physician Assistant in Gardner, Massachusetts. Qualified in 2005, 21 years ago. Practices with Community Health Connections, Inc, a 90-clinician group. Licensed in Massachusetts.

Years since qualifying
21
Licensed in
MA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

175 Connors St
Gardner, MA 01440
Phone: (978) 410-6121
Fax: (978) 410-6109
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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 AP2003 (MA)

Record details

NPI number1033189352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESOctober 28, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Community Health Connections, Inc — 90 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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