Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lissette I Cruz, PA-C

Individual provider Physician Assistant · NPI 1245647486

Mrs. Lissette I Cruz, PA-C is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2014, 12 years ago. Practices with Optimus Health Care Inc, a 77-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
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

64 Black Rock Ave
Bridgeport, CT 06605-1200
Phone: (203) 579-5000
Fax: (203) 579-5113
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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 003107 (CT)

Record details

NPI number1245647486
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2014
Last updated in NPPESApril 20, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Optimus Health Care Inc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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