Carly Krisavage, PHYSICIAN ASSISTANT
NPI 1629564729 · Physician Assistant · Bridgeport, CT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carly Krisavage, PHYSICIAN ASSISTANT is a Physician Assistant provider in Bridgeport, CT (NPI 1629564729).
Provider details
- NPI number
- 1629564729
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- 4141 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 43 | 41 |
| Azithromycin | 29 | 27 |
| Fluticasone Propionate | 21 | 18 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 19 | 14 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 17 | 16 |
| Cephalexin | 14 | 14 |
| Ketoconazole | 14 | — |
Practice location
Mailing address
Additional practice locations (1)
- 1918 Black Rock TpkeFairfield, CT 06825-3543Phone: (203) 583-8400Fax: (203) 583-4777
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2020-01-13
- Certified
- 2020-01-13
Frequently asked questions
- What is Carly Krisavage's NPI number?
- Carly Krisavage's National Provider Identifier (NPI) is 1629564729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carly Krisavage's specialty?
- Carly Krisavage is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carly Krisavage located?
- Carly Krisavage's practice location on file with NPPES is 161 Boston Ave, Bridgeport, CT 06610-1662.
- What is Carly Krisavage's phone number?
- The practice phone number listed in the NPPES registry for Carly Krisavage is (203) 333-4400.
- Does Carly Krisavage accept Medicare?
- Carly Krisavage is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carly Krisavage's NPI active?
- Yes — Carly Krisavage's NPI (1629564729) is active in the NPPES registry as of the last update on 2020-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.