Active NPIIndividual provider

Maura K Kelly, PA-C

Physician Assistant in Springfield, Massachusetts

NPI Number1225409394
Practice location
100 Wason Ave Ste 120, Springfield, MA 01107-1179
Fax
413-735-1986
Last updated
January 12, 2026

Maura Kathleen Kelly is a Physician Assistant based in Springfield, MA. Maura Kathleen Kelly practices in Springfield, MA and has the professional credentials of PA-C. The NPI Number for Maura Kathleen Kelly is 1225409394 and holds a License No. PA5448 (MA). The current practice location address for Maura Kathleen Kelly is 100 Wason Ave Ste 120, Springfield, MA 01107-1179 and can be reached out via phone at 413-241-2100 and via fax at 413-735-1986.

Provider Profile Details

NPI Number
1225409394
Provider Name
Maura Kathleen Kelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Wason Ave Ste 120, Springfield, MA 01107-1179
Phone Number
413-241-2100
Fax Number
413-735-1986
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2015
Last Update Date
January 12, 2026
Certification Date
January 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Wason Ave Ste 120
Springfield, MA 01107-1179
Zip
01107-1179
Phone Number
413-241-2100
Fax Number
413-735-1986
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
100 Wason Ave Ste 120
Springfield, MA 01107-1179
City
Springfield
State
MA
Zip
01107-1179

License Information

License Number
PA5448
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maura K Kelly, PA-C?

The NPI number of Maura K Kelly, PA-C is 1225409394. It was assigned on October 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Maura K Kelly, PA-C?

Maura K Kelly, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA5448.

Where does Maura K Kelly, PA-C practice?

The practice location is 100 Wason Ave Ste 120, Springfield, MA 01107-1179. The office can be reached at 413-241-2100 (phone) or 413-735-1986 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225409394 directly on the NPPES registry website.

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