Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Kelly Theo Rouleau, PA

Individual provider Physician Assistant · NPI 1750510533

Mrs. Kelly Theo Rouleau, PA is a Physician Assistant in Portsmouth, New Hampshire. Graduated from University of New England, College of Osteo Medicine in 2009, 17 years ago. Practices with Northeast Dermatology Associates PC, a 84-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine and New Hampshire.

Years since qualifying
17
Trained at
University of New England, College of Osteo Medicine
Licensed in
ME, NH
In the registry since
2009
Specialties on file
2
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

155 Borthwick Ave Ste 201
Portsmouth, NH 03801
Phone: (978) 691-5690
Fax: (603) 410-4679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 519 Us Route 1 Unit 2, York, ME 03909 — (978) 691-5690
  • 23 Hampton Rd, Exeter, NH 03833 — (978) 691-5690

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0734 (NH)
Physician Assistant Taxonomy 363A00000X · Licence PA1660 (ME)

Record details

NPI number1750510533
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 14, 2009
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2009 (17 years in practice)
Group practice Northeast Dermatology Associates Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 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 patients958
Services billed 9,330 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

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.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $2,513 129 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Northeast Dermatology Associates PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 84 clinicians in the practice; 12 are shown here.

Other providers in Portsmouth