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Active NPI 1033189352 Individual Practitioner Female Practitioner

Kelley Ann Prendergast , PA

Physician Assistant • Gardner, MA

Professional Overview & Biography Verified Profile Summary

Kelley Prendergast, PA is a certified Physician Assistant practicing in Gardner, MA. With approximately 21 years of clinical experience since completing medical education in 2005, Kelley Prendergast delivers high-quality medical care to the local community at 175 CONNORS STREET.

Kelley Prendergast is affiliated with Community Health Connections, Inc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include blood glucose (sugar) test performed by hand-held instrument, assessment of emotional or behavioral problems, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

175 Connors Street

Gardner, MA 01440

Telephone 9784106121
Fax 9784106109
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gardner, MA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +7.5 yrs vs City Avg
City Avg: 13.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Gardner, MA (4746 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prendergast (21 Years) 21 Yrs
Gardner Specialty Average (13.5 Years) 13.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
82962 Blood glucose (sugar) test performed by hand-held instrument
82 33 $8.00 $3.21
96127 Assessment of emotional or behavioral problems
59 54 $46.50 $4.79
83036 Hemoglobin A1C level
53 29 $20.00 $9.52
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage
27 27 $50.00 $21.90
G0008 Administration of influenza virus vaccine
26 26 $24.78 $24.28

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA AP2003

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.

Hospital & Practice Group Affiliations

Community Health Connections, Inc

529 Timpany Blvd, Gardner, MA 014403451

Phone: 9788788100

Community Health Connections, Inc

175 Connors St, Gardner, MA 014402637

Phone: 9784106100

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1124000294

Doctor of Medicine (M.D.)

Dr. Timothy Eddy , DO

Family Medicine

NPI 1376549584

Doctor of Osteopathic Medicine (D.O.)

Diana Drake

Registered Nurse - Community Health

NPI 1598304719
Donna Perry

Licensed Practical Nurse

NPI 1801436993
Pauline Saunders , PA-C

Physician Assistant

NPI 1932441532

Physician Assistant (Certified)

Michelle Boudreau , NP-C

Nurse Practitioner - Family

NPI 1982116810

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2015

Registered at 175 CONNORS STREET, GARDNER, MA 01440 (Tel: 9784106121)

📍
Updated Business Mailing Address October 28, 2015

Registered at 326 NICHOLS ROAD, FITCHBURG, MA 01420 (Tel: 9788788100)

👤
Provider Name / Credentials Updated October 28, 2015

Recorded as KELLEY PRENDERGAST, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2015

Physician Assistant (License #AP2003 in MA)

🟢
Initial NPI Registration & Enumeration January 26, 2006

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: 1033189352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2006
Last Update: October 28, 2015
Sole Proprietor: No

Mailing Address

326 Nichols Road

Fitchburg, MA 01420

Phone: 9788788100

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.