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

Samantha Mirra

Individual provider Physician Assistant · NPI 1568201259

Samantha Mirra is a Physician Assistant in Norwich, Connecticut. Qualified in 2022, 4 years ago. Practices with The William W Backus Hospital, a 247-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2024

Practice location Address checks out

326 Washington St
Norwich, CT 06360-2740
Phone: (860) 889-8331
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1568201259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The William W Backus Hospital — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Norwich