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

MS. Kelsey Nicole Moulton

Individual provider Physician Assistant · NPI 1790486348

MS. Kelsey Nicole Moulton is a Physician Assistant in Portland, Maine. Qualified in 2023, 3 years ago. Practices with Mount Auburn Professional Services Inc, a 228-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

716 Stevens Ave
Portland, ME 04103-2656
Phone: (978) 939-9150
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1790486348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2023
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mount Auburn Professional Services Inc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Portland