Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristin Lee Gillis, PA-C

Individual provider Medical Physician Assistant · NPI 1649608738

Mrs. Kristin Lee Gillis, PA-C is a Physician Assistant in Waterbury, Connecticut. Qualified in 2013, 13 years ago. Works from 3 locations. Licensed in Connecticut.

Years since qualifying
13
Licensed in
CT
In the registry since
2013
Specialties on file
3
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

56 Franklin St
Waterbury, CT 06706-1253
Phone: (203) 709-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 732-5500
  • 237a State Rd, North Dartmouth, MA 02747-2612 — (508) 996-3991

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 003563 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 003563 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 003563 (CT)

Record details

NPI number1649608738
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2013
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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