MS. TAMMY M GENDRON (PA-C) – Medical Physician Assistant, NPI 1831387596

MS. TAMMY M GENDRON (PA-C) is a healthcare provider. based in Wethersfield, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 002081 (CT). The NPI Number for MS. TAMMY M GENDRON (PA-C) is 1831387596

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. TAMMY M GENDRON (PA-C)
NPI
1831387596
Phone
(860) 972-9033
Address
1290 SILAS DEANE HWY
Enumeration Date
9 October 2007
Last Update Date
8 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8605457500
Graduation Year
2007 (19 years ago)
PAC ID
3870657505
Group Practice PAC ID
2567366016
Professional Enrollment ID
I20090126000237
Address ID
CT061020000HA80XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MS. TAMMY M GENDRON (PA-C)

  • 1290 SILAS DEANE HWY

    WETHERSFIELD, CT 061094337

    Phone: (860) 972-9033

    Type: Mailing

  • 1244 STORRS RD

    STORRS, CT 062682200

    Phone: (860) 456-9720

    Fax: (860) 487-9684

    Type: Location

  • 2110, Silas Deane Highway, Rocky Hill, Hartford County, Connecticut, 06067, United States

    ROCKY HILL, CT 060672313

    Phone: (860) 258-3480

    Type: Mailing

  • Hartford Hospital, 80, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06102, United States

    SUITE 502

    HARTFORD, CT 061028000

    Phone: (860) 348-4870

    Type: Location

  • 80 Seymour St

    Suite 502

    Hartford, CT 061028000

    Phone: (860) 348-4870

    Type: Location

  • 31 SEYMOUR ST STE 204A

    HARTFORD, CT 061065521

    Phone: (860) 972-0475

    Type: Mailing

  • 31 SEYMOUR ST STE 204

    HARTFORD, CT 061065521

    Phone: (860) 972-0475

    Type: Location

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: 2009-01-26

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
I20090126000237IPhysician AssistantCTTBD

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
99204New patient office or other outpatient visit, 45-59 minutes6767$0
99205New patient office or other outpatient visit, 60-74 minutes4242$0
99215Established patient office or other outpatient visit, 40-54 minutes4241$0
View full utilization report →

Insurance plans in this area (ZIP 06109)

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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: 2567366016View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MS. TAMMY M GENDRON (PA-C) in the U.S.?
In the U.S., MS. TAMMY M GENDRON (PA-C) is identified by NPI 1831387596.
Is MS. TAMMY M GENDRON (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MS. TAMMY M GENDRON (PA-C) as active.
What type of care does MS. TAMMY M GENDRON (PA-C) provide?
MS. TAMMY M GENDRON (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. TAMMY M GENDRON (PA-C)?
MS. TAMMY M GENDRON (PA-C) shows a connection to Wethersfield, Connecticut in registry-derived data.
Who maintains MS. TAMMY M GENDRON (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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