Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Trista Rae Pennington, PA-C

Individual provider Surgical Physician Assistant · NPI 1376103812

Trista Rae Pennington, PA-C is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2019, 7 years ago. Practices with Yale University, a 2,618-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2019
Specialties on file
2
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

267 Grant St
Bridgeport, CT 06610-2805
Phone: (203) 988-5187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 York St, New Haven, CT 06510-3220 — (203) 688-4242

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4561 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4561 (CT)

Record details

NPI number1376103812
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 17, 2019
Last updated in NPPESSeptember 18, 2022
Certification dateSeptember 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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