Mishelle Diane Andersen

  • Bridgeport, CT
  • Physician assistant
NPI1063282853PAC ID5092285445
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2024
Practice address
64 Black Rock Avenue, Bridgeport, CT 06605
Practice phone
Call (203) 579-5000
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

OPTIMUS at Black Rock

FQHC - Main Site · Bridgeport, Connecticut

See all 2 affiliations

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Mishelle Diane Andersen is a physician assistant in Bridgeport, Connecticut

Mishelle Andersen practices at OPTIMUS at Black Rock in Bridgeport, Connecticut.

Mishelle Andersen's NPI, 1063282853, was assigned on January 3, 2024. Mishelle Andersen holds Connecticut license 7523.

NPI and contact details
Medicare PAC ID
5092285445
NPI enumeration date
January 3, 2024
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(203) 579-5000
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Mishelle Diane Andersen practices at OPTIMUS at Black Rock in Bridgeport, Connecticut

Mishelle Andersen's primary practice is OPTIMUS at Black Rock, at 64 Black Rock Avenue, Bridgeport, CT 06605 in Greater Bridgeport County. The practice phone is (203) 579-5000.

  • OPTIMUS at Black Rock
    64 Black Rock Avenue, Bridgeport, CT 06605 · Greater Bridgeport CountyPhone(203) 579-5000

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Mishelle Diane Andersen is affiliated with 1 site of care and 1 medical group

Mishelle Andersen's primary practice is OPTIMUS at Black Rock in Bridgeport, Connecticut. The medical group on file is Optimus Health Care.

OPTIMUS at Black RockFQHC - Main Site · Bridgeport, ConnecticutPrimary
Optimus Health CarePrimary care group, Bridgeport, CTParent health systemName with a free account
See all 2 affiliations for Mishelle Andersen

Sources: Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Mishelle Diane Andersen's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Mishelle Andersen practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
OPTIMUS at Black RockAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Mishelle Diane Andersen is one of 1,682 physician assistants in Connecticut

Physician assistant is Mishelle Andersen's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Mishelle Andersen is licensed in Connecticut.

Specialties and state licenses

  • Physician assistant, ConnecticutPrimaryLicense 7523 · taxonomy 363A00000X

Physician assistants near Mishelle Andersen

Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Mishelle Diane Andersen's patients have a median age of 41

Across all payers, Dmand AI patient panel data puts Mishelle Andersen's median patient age at 41, with 67% women.

Mishelle Andersen's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 41

Patient panel by sex, all payers

  • Women67%
  • Men33%

Source: Dmand AI Patient Panel Data

How Mishelle Diane Andersen takes part in Medicare

Mishelle Andersen accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Mishelle Diane Andersen's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Primary practice, affiliations and health systemDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Mishelle Diane Andersen

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Mishelle Diane Andersen's NPI number?

Mishelle Diane Andersen's NPI number is 1063282853. It was assigned on January 3, 2024, and it is active in the NPI Registry.

What does Mishelle Diane Andersen specialize in?

Mishelle Diane Andersen is a physician assistant in Bridgeport, Connecticut. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).

Where does Mishelle Diane Andersen practice?

Mishelle Andersen practices at 64 Black Rock Avenue, Bridgeport, CT 06605. Mishelle Andersen's primary practice is OPTIMUS at Black Rock in Bridgeport, Connecticut.

What is Mishelle Diane Andersen's office phone number?

The practice phone on file for Mishelle Andersen is (203) 579-5000.

What is Mishelle Diane Andersen's medical license number?

Mishelle Andersen holds Connecticut license 7523.

What medical group is Mishelle Diane Andersen part of?

Mishelle Andersen is linked to Optimus Health Care.

Does Mishelle Diane Andersen accept Medicare?

Yes. CMS lists Mishelle Andersen as accepting Medicare assignment.

How long has Mishelle Diane Andersen been practicing?

Mishelle Andersen's NPI was assigned in 2024.

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