MRS. KELLY JEAN WAY (BS, MS, PA-C) – Medical Physician Assistant, NPI 1124274378
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
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Provider Addresses for MRS. KELLY JEAN WAY (BS, MS, PA-C)
34, Springbrook Road, White Rock, Westerly, South County, Rhode Island, 02891, United States
WESTERLY, RI 028911001
Phone: (401) 348-8565
Type: Mailing
Backus Hospital, 326, Washington Street, Norwichtown Historic District, Norwich, New London County, Connecticut, 06360, United States
NORWICH, CT 063602740
Phone: (860) 889-8331
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: 2008-11-06
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 |
|---|---|---|---|---|
| I20081106000501 | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 60 | 58 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 57 | 57 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 13 | 13 | $0 |
Insurance plans in this area (ZIP 02891)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Emergency Medicine | RI | |
| P S Y C H I A T R Y | MA | |
| Hematology/Oncology, Medical Oncology | NJ | |
| Physician Assistant | ME | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | CT | |
| Physician Assistant | GA | |
| Internal Medicine | CT | |
| Physician Assistant | RI |
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