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

Richard Samuel Kisson, PA-C

Individual provider Physician Assistant · NPI 1497782825

Richard Samuel Kisson, PA-C is a Physician Assistant in Bridgeport, Connecticut. Graduated from Rutgers School of Dental Medicine in 2001, 25 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
25
Trained at
Rutgers School of Dental Medicine
Licensed in
CT
In the registry since
2006
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

2800 Main St St.vincent's Multispecialty Group
Bridgeport, CT 06606-4201
Phone: (203) 576-6133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Hospital Plz Fl 2, Stamford, CT 06902-3602 — (203) 276-4400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001085 (CT)

Record details

NPI number1497782825
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUTGERS SCHOOL OF DENTAL MEDICINE
Graduated 2001 (25 years in practice)
Group practice Stamford Health Medical Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Bridgeport