MISS MISHELLE DIANE ANDERSEN
NPI 1063282853
Physician Assistant in Bridgeport, CT
About Miss Mishelle Diane Andersen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MISHELLE DIANE ANDERSEN (NPI 1063282853) is an individual physician assistant in Bridgeport, Connecticut, licensed in Connecticut (7523) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Mishelle Diane Andersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mishelle Andersen's NPI number?
The NPI number for Mishelle Andersen is 1063282853. It was assigned to this individual provider in the NPPES registry on January 3, 2024.
Where is Mishelle Andersen located?
Mishelle Andersen practices at 64 Black Rock Ave, Bridgeport, CT 06605. The listed phone number is (203) 641-6110.
What is Mishelle Andersen's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mishelle Andersen enrolled in Medicare?
Yes. Mishelle Andersen is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mishelle Andersen was last updated on April 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
