Active NPIIndividual provider

Miss Angelica G Mushenko, PA

Physician Assistant in Rockport, Maine

NPI Number1689307985
Practice location
15 Anchor Dr Ste 102, Rockport, ME 04856-3847
Fax
207-301-5160
Last updated
August 4, 2026

Angelica G Mushenko is a Physician Assistant based in Rockport, ME. Angelica G Mushenko practices in Rockport, ME and has the professional credentials of PA. The NPI Number for Angelica G Mushenko is 1689307985 and holds a License No. PA3090 (ME). The current practice location address for Angelica G Mushenko is 15 Anchor Dr Ste 102, Rockport, ME 04856-3847 and can be reached out via phone at 207-301-3660 and via fax at 207-301-5160.

Provider Profile Details

NPI Number
1689307985
Provider Name
Angelica G Mushenko
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
15 Anchor Dr Ste 102, Rockport, ME 04856-3847
Phone Number
207-301-3660
Fax Number
207-301-5160
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 5, 2022
Last Update Date
August 4, 2026
Certification Date
August 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Anchor Dr Ste 102
Rockport, ME 04856-3847
State
Maine
Zip
04856-3847
Phone Number
207-301-3660
Fax Number
207-301-5160
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
15 Anchor Dr Ste 102
Rockport, ME 04856-3847
City
Rockport
State
ME
Zip
04856-3847
Phone Number
207-301-3660
Fax Number
207-301-5160

License Information

License Number
PA3090
License State
ME
Taxonomy
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 Rockport, ME

View all Physician Assistants in Rockport →

Frequently Asked Questions

What is the NPI number of Miss Angelica G Mushenko, PA?

The NPI number of Miss Angelica G Mushenko, PA is 1689307985. It was assigned on July 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Miss Angelica G Mushenko, PA?

Miss Angelica G Mushenko, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA3090.

Where does Miss Angelica G Mushenko, PA practice?

The practice location is 15 Anchor Dr Ste 102, Rockport, ME 04856-3847. The office can be reached at 207-301-3660 (phone) or 207-301-5160 (fax).

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 1689307985 directly on the NPPES registry website.

Browse related providers