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Active NPI 1851596704 Individual Practitioner Female Practitioner

Kolleen M Deandrade , PA-C

Physician Assistant • Fall River, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kolleen Deandrade, PA-C is a certified Physician Assistant practicing in Fall River, MA. With approximately 36 years of clinical experience since completing medical education in 1990, Kolleen Deandrade delivers high-quality medical care to the local community at 363 HIGHLAND AVE.

Kolleen Deandrade is affiliated with Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, coronary artery bypass using artery graft, 1 graft, harvest of veins for coronary artery bypass procedure using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

363 Highland Ave

Fall River, MA 027203703

Telephone 5089737018
Fax 5089737147
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fall River, MA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +21.1 yrs vs City Avg
City Avg: 14.9 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Fall River, MA (4746 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deandrade (36 Years) 36 Yrs
Fall River Specialty Average (14.9 Years) 14.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes
18 18 $321.00 $88.14

Medical Specialties & State Licenses

CMS Verified: 2025-09-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA278

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License RI PA01828

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3139163 (NH)

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

185 High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Lifespan Physician Group Inc

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Lifespan Physician Group Inc

185 A High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Secondary Practice Locations

2 Dudley St

Providence, RI 029053236

Phone: 4014445891

593 Eddy St

Providence, RI 029034923

Phone: 4014447585

732 Harrison Ave, 3rd Floor West, Preston Building

Boston, MA 02118

Phone: 6176387350

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1073513438

Doctor of Medicine (M.D.)

Ngoc Ly

Anesthesiology - Critical Care Medicine

NPI 1356735401
NPI 1902806342

Doctor of Medicine (M.D.)

Mark Morosco , PA-C

Physician Assistant - Surgical

NPI 1922203777

Physician Assistant (Certified)

Jessica Kerensky , PA

Physician Assistant - Surgical

NPI 1922382159

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2025

Physician Assistant (License #PA01828 in RI)

📍
Updated Practice Location April 21, 2020

Registered at 363 HIGHLAND AVE, FALL RIVER, MA 027203703 (Tel: 5089737018)

📍
Updated Business Mailing Address April 21, 2020

Registered at 200 MILL RD STE 180, FAIRHAVEN, MA 027195255 (Tel: 5089732000)

NPI Profile Active November 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2016

Registered at 200 MILL RD, SUITE 180, FAIRHAVEN, MA 027195252 (Tel: 5089732000)

📍
Updated Business Mailing Address November 09, 2016

Registered at 363 HIGHLAND AVE, FALL RIVER, MA 027203703 (Tel: 5089737774)

👤
Provider Name / Credentials Updated November 09, 2016

Recorded as KOLLEEN DEANDRADE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2016

Physician Assistant (License #PA278 in MA)

🟢
Initial NPI Registration & Enumeration June 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851596704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2007
Last Update: September 26, 2025
Sole Proprietor: No

Mailing Address

200 Mill Rd Ste 180

Fairhaven, MA 027195255

Phone: 5089732000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.