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Nicolette Anderson, PA-C

NPI 1609662949ActiveIndividual· Physician Assistant· New Haven, CT

Physician Assistant (PA-C) in New Haven, Connecticut, with an NPI issued in April 2025. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1609662949
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedApr 15, 2025
Last updated in NPPESApr 15, 2025
Certified by providerApr 15, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CO)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysician Assistant

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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