MRS. KELSEY EJZAK CAULFIELD (PA) – Medical Physician Assistant, NPI 1245462589
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for MRS. KELSEY EJZAK CAULFIELD (PA)
28 CRESCENT ST
MIDDLETOWN, CT 064573654
Phone: (860) 358-4870
Type: Mailing
270 MAIN ST STE A
PORTLAND, CT 064801836
Phone: (860) 358-5040
Type: Location
42 Town St
Norwich, CT 063602316
Phone: (860) 480-0135
Type: Location
27 William F Palmer Rd
Moodus, CT 064691132
Phone: (860) 358-5220
Type: Location
140, West Main Street, Downtown Norwich Historic District, Norwich, New London County, Connecticut, 06360, United States
NORWICH, CT 063606043
Phone: (860) 200-8098
Type: Location
173, North Wawecus Hill Road, Norwichtown, Bean Hill, Norwich, Southeastern Connecticut Planning Region, Connecticut, 06360, United States
NORWICH, CT 063604062
Phone: (860) 480-0135
Fax: (330) 493-8677
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Kerecis Limited ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $22 |
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: 2009-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091016000436 | I | Physician Assistant | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 179 | 152 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 49 | $0 |
| 81003 | Automated urinalysis test | 28 | 25 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 21 | 17 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 20 | 14 | $0 |
Insurance plans in this area (ZIP 06457)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Family Practice | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Family Practice | CT | |
| Family Practice | CT | |
| Physician Assistant | MA | |
| General Surgery | CT |
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