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

Mrs. Kely Cristina Jeronimo, PA

Individual provider Physician Assistant · NPI 1184930836

Mrs. Kely Cristina Jeronimo, PA is a Physician Assistant in Providence, Rhode Island. Qualified in 2009, 17 years ago. Practices with Rhode Island Medical Imaging Inc, a 107-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
17
Licensed in
MA, RI
In the registry since
2010
Specialties on file
2
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

164 Summit Ave Dept OF Surgery
Providence, RI 02906-3418
Phone: (774) 287-4181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 211 Park St, Attleboro, MA 02703-3137 — (508) 222-5200
  • 125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785 — (401) 432-2520

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA549 (RI)
Physician Assistant Taxonomy 363A00000X · Licence PA7655 (MA)

Record details

NPI number1184930836
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 19, 2010
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Rhode Island Medical Imaging Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence