Kolleen M. Deandrade, PA-C
NPI 1851596704ActiveIndividual· Physician Assistant· Fall River, MA
Physician Assistant (PA-C) with Lifespan Physician Group Inc, practicing in Fall River, Massachusetts. Part D covered 80 prescriptions written in 2024, 91% of them generic. Lists Rhode Island Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1851596704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 20, 2007 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA278 | MA |
| Physician Assistant | 363A00000X | PA01828 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA); Practitioner - Physician Assistant (RI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 80 · 100 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $4,570 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Lifespan Physician Group IncProvidence, RI · 1,173 clinicians
Hospital affiliations
- Rhode Island HospitalProvidence, RI
- The Miriam HospitalProvidence, RI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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