KELSEY LANGE PIERCE (PA-C) – Physician Assistant, NPI 1740675065

KELSEY LANGE PIERCE (PA-C) is a healthcare provider. based in Bennington, Vermont. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 055.0031242 (VT). The NPI Number for KELSEY LANGE PIERCE (PA-C) is 1740675065

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY LANGE PIERCE (PA-C)
NPI
1740675065
Phone
Not provided
Address
140 HOSPITAL DR
Enumeration Date
2 April 2015
Last Update Date
2 April 2015

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
2062731375
Group Practice PAC ID
0143138446
Professional Enrollment ID
I20150508000973
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for KELSEY LANGE PIERCE (PA-C)

  • 140 HOSPITAL DR

    SUITE 111

    BENNINGTON, VT 052015009

    Phone:

    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: 2015-05-08

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
I20150508000973IPhysician AssistantVTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05201)

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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: 0143138446View full group profile

Reviews

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Frequently asked questions

Can I verify KELSEY LANGE PIERCE (PA-C) with an NPI only?
You can start verification with NPI 1740675065 for KELSEY LANGE PIERCE (PA-C), then check state licensing separately.
Is KELSEY LANGE PIERCE (PA-C) listed as active for patients and plans?
The listing shows KELSEY LANGE PIERCE (PA-C) as active in the NPI system.
What is KELSEY LANGE PIERCE (PA-C)'s primary classification?
Physician Assistant is the headline specialty for KELSEY LANGE PIERCE (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for KELSEY LANGE PIERCE (PA-C)?
KELSEY LANGE PIERCE (PA-C)'s geographic hint is Bennington, Vermont in our summary view.
Is the information about KELSEY LANGE PIERCE (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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