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

Mrs. Kerry Marie Phelan, PA-C

Individual provider Physician Assistant · NPI 1881002517

Mrs. Kerry Marie Phelan, PA-C is a Physician Assistant in Pawcatuck, Connecticut. Graduated from University of Colorado School of Medicine, Denver in 1999, 27 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
27
Trained at
University of Colorado School of Medicine, Denver
Licensed in
CT
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

91 Voluntown Rd
Pawcatuck, CT 06379-1366
Phone: (860) 599-5477
Fax: (860) 599-5676
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3144 (CT)

Record details

NPI number1881002517
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2014
Last updated in NPPESJuly 25, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 1999 (27 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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