NPPES file of Aug 9, 2026

Mishelle Diane Andersen

Physician Assistant · Bridgeport, CT

Mishelle Diane Andersen is a physician assistant with a practice address in Bridgeport, Connecticut, and NPI 1063282853, issued on Jan 3, 2024. Check the license (Connecticut 7523, as entered in NPPES) with the Connecticut board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063282853
Name
Mishelle Diane Andersen
Primary taxonomy
Physician Assistant 363A00000X
License number
7523 CT
Self-reported in NPPES; status is on the state search
Practice location
64 Black Rock Ave, Bridgeport, CT 06605
Phone
(203) 641-6110
Enumerated
Jan 3, 2024
Record last updated
Apr 3, 2026
Medicare enrollment
Enrolled (PECOS I20260527000630); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 64 Black Rock Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Anne Abbate, MDObstetrics & Gynecology Physician1497323562
  2. Amuri Barbosa, DENTAL HYGIENISTDental Hygienist1891940656
  3. Fern Blumenfeld-JaffeMidwife1891778858
  4. Lissette Cruz, PA-CPhysician Assistant1245647486
  5. Andrew Cushing, MDInternal Medicine Physician1205458783
  6. Aswani Daraboina, MDInternal Medicine Physician1063853638

Verify Mishelle Diane Andersen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
    Search for license 7523
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Connecticut license search

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137 physician assistant records list a practice address in Bridgeport

They are 137 of the 2,980 NPPES records with a practice address in Bridgeport, and 2,047 physician assistant records in Connecticut. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other physician assistant records in Connecticut

  1. Gazang Abdulla, PA-CHartford, CT1396566956
  2. Jill Aboulian, PA-CCheshire, CT1881615730
  3. Celin Abraham, PA-CWaterbury, CT1407171085
  4. Louisa Acca, PA-CHartford, CT1679265458
  5. Julia Accorsini, PA-CNew Haven, CT1326793670
  6. Erica Acevedo, PA-CNorwalk, CT1093289936
  7. Ariana AcquaruloShelton, CT1528439312
  8. Erica Acquarulo, PA-CBridgeport, CT1982468799
  9. Prince Acquaye, PA-CFairfield, CT1639767130
  10. Clark Adams, PA-CHartford, CT1245329457

Common questions

What is Mishelle Diane Andersen's NPI number?

Mishelle Diane Andersen's National Provider Identifier (NPI) is 1063282853, issued on Jan 3, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Mishelle Diane Andersen located?

The NPPES record lists a practice address at 64 Black Rock Ave, Bridgeport, CT, 06605. Phone: (203) 641-6110. Providers update this record themselves, so call before visiting.

How can I verify Mishelle Diane Andersen's license?

NPPES lists Connecticut license number 7523, as entered by the provider. Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.