Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063282853 Individual Practitioner Female Practitioner

Mishelle Diane Andersen

Physician Assistant • Bridgeport, CT

Professional Overview & Biography Verified Profile Summary

Mishelle Andersen is a certified Physician Assistant practicing in Bridgeport, CT. With approximately 1 years of clinical experience since completing medical education in 2025, Mishelle Andersen delivers high-quality medical care to the local community at 64 BLACK ROCK AVE.

Mishelle Andersen does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

64 Black Rock Ave

Bridgeport, CT 066051200

Telephone 2036416110
Associated Practice Facility / Clinic
🏢 Optimus Health Care Inc Facility NPI 1932479409

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bridgeport, CT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -7.2 yrs vs City Avg
City Avg: 8.2 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
138 Specialists

Practicing in Bridgeport, CT (2065 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Andersen (1 Years) 1 Yrs
Bridgeport Specialty Average (8.2 Years) 8.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CT 7523

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Monique Misra , MD

Internal Medicine

NPI 1033319793

Doctor of Medicine (M.D.)

Dr. Aswani Daraboina , MD

Internal Medicine

NPI 1063853638

Doctor of Medicine (M.D.)

Keitra Thompson , CRNP

Nurse Practitioner - Family

NPI 1063942555

Certified Registered Nurse Practitioner

Miriam Feinstein , PA-C

Physician Assistant

NPI 1093256091

Physician Assistant (Certified)

Dr. Monika Kaul , MD

Family Medicine

NPI 1154569200

Doctor of Medicine (M.D.)

Dr. Andrew Cushing , MD

Internal Medicine

NPI 1205458783

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 03, 2026

Registered at 64 BLACK ROCK AVE, BRIDGEPORT, CT 066051200 (Tel: 2036416110)

📍
Updated Business Mailing Address April 03, 2026

Registered at 64 BLACK ROCK AVE, BRIDGEPORT, CT 066051200 (Tel: 2036416110)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2026

Physician Assistant (License #7523 in CT)

NPI Profile Active January 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2024

Registered at 1075 E BETTERAVIA RD STE 201, SANTA MARIA, CA 934547023 (Tel: 8056217714)

📍
Updated Business Mailing Address January 03, 2024

Registered at 421 VENTURA RD, SANTA MARIA, CA 934551701 (Tel: 2036416110)

👤
Provider Name / Credentials Updated January 03, 2024

Recorded as MISHELLE ANDERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 03, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mishelle Andersen. Be the first to share your experience!

Sign in to leave a review for Mishelle Andersen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1063282853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2024
Last Update: April 03, 2026
Sole Proprietor: No

Mailing Address

64 Black Rock Ave

Bridgeport, CT 066051200

Phone: 2036416110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.