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

Individual provider Physician Assistant · NPI 1760519698

Mrs. Misha Sullivan, PA-C, ATC is a Physician Assistant in Manchester, New Hampshire. Qualified in 2011, 15 years ago. Practices with Elliot Professional Services, a 424-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
15
Licensed in
NH
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

185 Queen City Ave
Manchester, NH 03101-7121
Phone: (603) 625-1655
Fax: (603) 626-4686
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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 0845 (NH)

Record details

NPI number1760519698
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESSeptember 30, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Manchester