Active NPIIndividual provider

Alyssa Nickel, PA-C

Physician Assistant in North Haven, Connecticut

NPI Number1356064562
Practice location
370 Bassett RD, North Haven, CT 06473-4201
Fax
—
Last updated
February 6, 2026

Alyssa Nickel is a Physician Assistant based in North Haven, CT. Alyssa Nickel practices in North Haven, CT and has the professional credentials of PA-C. The NPI Number for Alyssa Nickel is 1356064562 and holds a License No. 5875 (CT). The current practice location address for Alyssa Nickel is 370 Bassett RD, North Haven, CT 06473-4201 and can be reached out via phone at 203-582-7766.

Provider Profile Details

NPI Number
1356064562
Provider Name
Alyssa Nickel
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
370 Bassett RD, North Haven, CT 06473-4201
Phone Number
203-582-7766
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2022
Last Update Date
February 6, 2026
Certification Date
February 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
370 Bassett RD
North Haven, CT 06473-4201
Zip
06473-4201
Phone Number
203-582-7766
North Haven, CT 06473Get directions →

Provider Business Mailing Address Details

Address
107 Great Hill RD
Seymour, CT 06483-2232
City
Seymour
State
CT
Zip
06483-2232
Phone Number
203-906-6013

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
5875
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near North Haven, CT

View all Physician Assistants in North Haven →

Frequently Asked Questions

What is the NPI number of Alyssa Nickel, PA-C?

The NPI number of Alyssa Nickel, PA-C is 1356064562. It was assigned on September 22, 2022 and is currently active in the NPPES registry.

What is the specialty of Alyssa Nickel, PA-C?

Alyssa Nickel, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 5875.

Where does Alyssa Nickel, PA-C practice?

The practice location is 370 Bassett RD, North Haven, CT 06473-4201. The office can be reached at 203-582-7766 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356064562 directly on the NPPES registry website.

Browse related providers