Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Kelly Christine Mutsavage, PA-C

Individual provider Dermatology Physician · NPI 1487601886

Kelly Christine Mutsavage, PA-C is a Physician Assistant in Meadville, Pennsylvania. Qualified in 2005, 21 years ago. Practices with Ucmg LLC, a 258-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
21
Licensed in
PA
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

640 Alden St
Meadville, PA 16335-2348
Phone: (814) 724-1252
Fax: (814) 333-8871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 Freeport Rd Ste 500, Aspinwall, PA 15215-2976 — (412) 782-3278

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MA052475 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA052475 (PA)
Hospitalist Physician Taxonomy 208M00000X · Licence MA052475 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA002277 (PA)

Record details

NPI number1487601886
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ucmg Llc — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients210
Services billed 398 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Ucmg LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 258 clinicians in the practice; 12 are shown here.

Other providers in Meadville