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

Micaela Earle Kwochka, PA-S

Individual provider Physician Assistant · NPI 1215588009

Micaela Earle Kwochka, PA-S is a Physician Assistant in Monroe, Connecticut. Qualified in 2020, 6 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2019

Practice location Address checks out

17 Sunrise Ter
Monroe, CT 06468-2925
Phone: (203) 814-6292
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4884 (CT)

Record details

NPI number1215588009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorYes
NPI enumeratedSeptember 24, 2019
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Monroe