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KELLY ROUSSEAU PA NPI 1669669727


NPI Information

NPI: 1669669727
Provider Name: KELLY ROUSSEAU, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
114 WOODLAND ST
DEPARTMENT OF SURGERY
HARTFORD, CT
ZIP 06105
Phone: (860) 714-4694
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Kelly Rousseau, PA is a surgical physician assistant in Hartford, CT with 17 years of experience. Kelly Rousseau, PA NPI is 1669669727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

114 WOODLAND ST
DEPARTMENT OF SURGERY
HARTFORD, CT
ZIP 06105-208
Phone: (860) 714-4694
Fax: (860) 714-8096

The NPI 1669669727 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of veins for coronary artery bypass procedure using an endoscope (HCPCS:33508)
  • Heart artery bypass to repair one artery (HCPCS:33533)

The enumeration date for this NPI number is 10/2/2007 and was last updated on 9/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.