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

Nicole A. Wizeman, PA-C

Individual provider Surgical Physician Assistant · NPI 1134511595

Nicole A. Wizeman, PA-C is a Physician Assistant in Manchester, Connecticut. Qualified in 2014, 12 years ago. Practices with Riverbend Medical Group Inc, a 224-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
12
Licensed in
CT, MA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

71 Haynes St
Manchester, CT 06040-4131
Phone: (860) 533-6595
Fax: (860) 533-6594
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3298 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA5251 (MA)

Record details

NPI number1134511595
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2015
Last updated in NPPESJanuary 30, 2017

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 Riverbend Medical Group Inc — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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