KELLIE WATKINS-COLWELL (MD) – Family Medicine Physician, NPI 1083669113

KELLIE WATKINS-COLWELL (MD) is a healthcare provider. based in Fairfield, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036617 (CT). The NPI Number for KELLIE WATKINS-COLWELL (MD) is 1083669113

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE WATKINS-COLWELL (MD)
NPI
1083669113
Phone
(203) 255-0215
Address
325 REEF RD
Enumeration Date
24 May 2006
Last Update Date
31 May 2013

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
2033843388
Graduation Year
1995 (31 years ago)
PAC ID
7113086281
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20090127000122
Address ID
CT066141702ST95XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

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Provider Addresses for KELLIE WATKINS-COLWELL (MD)

  • 325, Reef Road, Fairfield, Fairfield County, Connecticut, 06824, United States

    ROOM 203

    FAIRFIELD, CT 068246537

    Phone: (203) 255-0215

    Fax: (203) 255-0046

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090127000122IFamily PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes312167$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit119119$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6965$0
G0008Administration of influenza virus vaccine5858$0
90662Influenza vaccine split virus, preservative free4545$0
View full utilization report →

Insurance plans in this area (ZIP 06824)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254233836View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-CT
-CT
Internal MedicineNJ
Hospitalist, Internal MedicineCT
-CT
-CT
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

Does KELLIE WATKINS-COLWELL (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLIE WATKINS-COLWELL (MD) uses 1083669113.
Does the file indicate KELLIE WATKINS-COLWELL (MD) is practicing under active NPI?
Directory data currently reports KELLIE WATKINS-COLWELL (MD) as active.
What is KELLIE WATKINS-COLWELL (MD)'s specialty?
The listing groups KELLIE WATKINS-COLWELL (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does KELLIE WATKINS-COLWELL (MD) serve?
KELLIE WATKINS-COLWELL (MD)'s listing highlights Fairfield, Connecticut; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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