Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abigail Mitroff, PA-C

Individual provider Medical Physician Assistant · NPI 1457871816

Abigail Mitroff, PA-C is a Physician Assistant in Surprise, Arizona. Qualified in 2017, 9 years ago. Practices with Richard Lee Averitte Jr PLLC, a 32-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

13995 W Statler Blvd Ste 150
Surprise, AZ 85374-5512
Phone: (805) 560-4464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6751 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1457871816
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 26, 2017
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address13995 W Statler Blvd Ste 150, Surprise, AZ 85374-5512

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Richard Lee Averitte Jr Pllc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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