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

Carly Krisavage, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1629564729

Carly Krisavage, PHYSICIANASSISTANT is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2018, 8 years ago. Practices with Community Health Center Inc, a 148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

161 Boston Ave
Bridgeport, CT 06610-1662
Phone: (203) 333-4400
Fax: (203) 334-0729
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1918 Black Rock Tpke, Fairfield, CT 06825-3543 — (203) 583-8400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4141 (CT)

Record details

NPI number1629564729
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Health Center Inc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bridgeport