Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kelley Ann Prendergast, PA

Individual provider Physician Assistant · NPI 1033189352

Mrs. Kelley Ann Prendergast, PA is a Physician Assistant in Gardner, Massachusetts. Qualified in 2005, 21 years ago. Practices with Community Health Connections, Inc, a 90-clinician group. Licensed in Massachusetts.

Years since qualifying
21
Licensed in
MA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

175 Connors St
Gardner, MA 01440 Not confirmed with CMS for 10 years — call before visiting
Phone: (978) 410-6121
Fax: (978) 410-6109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AP2003 (MA)

Record details

NPI number1033189352
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESOctober 28, 2015

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 Community Health Connections, Inc — 90 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 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 patients100
Services billed 459 a service is one billed item, such as a visit, a test or a procedure
Average patient age64

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.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Community Health Connections, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 90 clinicians in the practice; 12 are shown here.

Other providers in Gardner