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

Nicole Louise Robitaille

Individual provider Surgical Physician Assistant · NPI 1063076461

Nicole Louise Robitaille is a Physician Assistant in Norwich, Connecticut. Qualified in 2020, 6 years ago. Practices with The William W Backus Hospital, a 247-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Maine.

Years since qualifying
6
Licensed in
CT, ME
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

326 Washington St
Norwich, CT 06360-2740
Phone: (860) 326-8661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 417 State St Ste 330, Bangor, ME 04401-6638 — (207) 973-8881

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 6924 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2084 (ME)

Record details

NPI number1063076461
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The William W Backus Hospital — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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