Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jason D. Andrus, PA-C

Individual provider Surgical Physician Assistant · NPI 1104808369

Mr. Jason D. Andrus, PA-C is a Physician Assistant in Meriden, Connecticut. Qualified in 2000, 26 years ago. Practices with Midstate Medical Center, a 182-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
26
Licensed in
CT
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

435 Lewis Ave
Meriden, CT 06451-2101
Phone: (833) 203-7523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 84 N Main St Bldg 2, Branford, CT 06405-3061 — (203) 483-2024

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1011 (CT)

Record details

NPI number1104808369
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Midstate Medical Center — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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