Miss. Mishelle Diane Andersen
Miss. Mishelle Diane Andersen is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2025, 1 year ago. Practices with Optimus Health Care Inc, a 77-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 1
- Licensed in
- CT
- In the registry since
- 2024
Practice location Address checks out
64 Black Rock AveBridgeport, CT 06605-1200
Phone: (203) 641-6110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 7523 (CT) |
|---|
Record details
| NPI number | 1063282853 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 3, 2024 |
| Last updated in NPPES | April 3, 2026 |
| Certification date | April 3, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Optimus Health Care Inc — 77 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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