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

MS. Kellie M. Glenn, PA-C

Individual provider Physician Assistant · NPI 1609163211

MS. Kellie M. Glenn, PA-C is a Physician Assistant in Worcester, Massachusetts. Qualified in 2011, 15 years ago. Practices with Milford Regional Physician Group, Inc, a 224-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
15
Licensed in
MA
In the registry since
2011
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

119 Belmont St
Worcester, MA 01605-2903
Phone: (508) 334-3170
Fax: (508) 334-9762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14 Prospect St, Milford, MA 01757-3003 — (508) 422-2748

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA4205 (MA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA4205 (MA)

Record details

NPI number1609163211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 3, 2011
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Milford Regional Physician Group, Inc. — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Worcester