KELLY COLLINS BUCHANAN (PA) – Physician Assistant, NPI 1205096583

KELLY COLLINS BUCHANAN (PA) is a healthcare provider. based in Cambridge, Massachusetts. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. AP2328 (MA). The NPI Number for KELLY COLLINS BUCHANAN (PA) is 1205096583

Main info

Female
Name
KELLY COLLINS BUCHANAN (PA)
NPI
1205096583
Phone
Not provided
Address
61 GARFIELD ST APT 5
Enumeration Date
11 June 2008
Last Update Date
16 December 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY COLLINS BUCHANAN (PA)

  • 61 GARFIELD ST APT 5

    CAMBRIDGE, MA 021381863

    Phone:

    Type: Mailing

  • Boylston Street, Chestnut Hill, Newton, Middlesex County, Massachusetts, 02467, United States

    CHESTNUT HILL, MA 024672116

    Phone: (617) 731-1600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($100).

Total Amount

$437

General + Research + Ownership

Payments

13

Total payment records

General Amount

$437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2008-12-17

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
I20081217000726IPhysician AssistantMATBD

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 02138)

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Reviews

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Frequently asked questions

Is KELLY COLLINS BUCHANAN (PA) listed with a National Provider Identifier?
Yes — KELLY COLLINS BUCHANAN (PA) has NPI 1205096583 on file in the registry.
Is KELLY COLLINS BUCHANAN (PA) still an active registrant?
KELLY COLLINS BUCHANAN (PA) carries an active NPI according to the public dataset.
How would a patient describe KELLY COLLINS BUCHANAN (PA)'s focus?
For KELLY COLLINS BUCHANAN (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is KELLY COLLINS BUCHANAN (PA) registered?
Use Cambridge, Massachusetts as the headline location for KELLY COLLINS BUCHANAN (PA) here.
Can I trust this NPI listing for KELLY COLLINS BUCHANAN (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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