MYSTIC MEDICAL ASSOCIATES LLC – Primary Care Clinic/Center, NPI 1972954477

MYSTIC MEDICAL ASSOCIATES LLC is a healthcare provider. based in Mystic, Connecticut. specializing in Primary Care Clinic/Center. The NPI Number for MYSTIC MEDICAL ASSOCIATES LLC is 1972954477

Main info

Organization
Name
MYSTIC MEDICAL ASSOCIATES LLC
NPI
1972954477
Phone
(860) 245-4126
Address
12 ROOSEVELT AVE
Authorized Official
CHRISTOPHER J ANDERSON APRN MSN FNP-C
Enumeration Date
27 June 2016
Last Update Date
21 March 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:9State licenses:0Digital endpointsOther names

Provider Addresses for MYSTIC MEDICAL ASSOCIATES LLC

  • 12 ROOSEVELT AVE

    SECOND FLOOR

    MYSTIC, CT 063552809

    Phone: (860) 245-4126

    Fax: (860) 245-4128

    Type: Mailing

  • 230 S Main St.

    Suite #2

    Cheshire, CT 064100641

    Phone: (860) 245-4126

    Fax: (877) 927-0171

    Type: Location

  • 495 GOLD STAR HWY STE 112

    GROTON, CT 063406229

    Phone: (860) 245-4126

    Fax: (860) 245-4128

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06355)

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Reviews

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Frequently asked questions

Can I verify MYSTIC MEDICAL ASSOCIATES LLC with an NPI only?
You can start verification with NPI 1972954477 for MYSTIC MEDICAL ASSOCIATES LLC, then check state licensing separately.
Does CMS list MYSTIC MEDICAL ASSOCIATES LLC as active?
Yes — MYSTIC MEDICAL ASSOCIATES LLC is active in the NPI listing used on this page.
What taxonomy line describes MYSTIC MEDICAL ASSOCIATES LLC?
For research purposes, treat MYSTIC MEDICAL ASSOCIATES LLC as Primary Care Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MYSTIC MEDICAL ASSOCIATES LLC?
MYSTIC MEDICAL ASSOCIATES LLC's geographic hint is Mystic, Connecticut in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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