Angelica G Mushenko, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3090 Issued in ME

Practice address

15 Anchor Dr Ste 102
Rockport, ME 04856-3847

Phone

(207) 301-3660

Fax

(207) 301-5160

NPI assigned

Jul 5, 2022

Last updated

Aug 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  Medicare reassignment Care Compare group NPD
• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Medicare reassignment NPD
• North Adams Regional Hospital Corporation

  • Critical Access Hospital
  • North Adams, MA
  • NPI 1437839669
  Medicare reassignment NPD
• Berkshire Medical Center Inc.

  dba Berkshire Community Pharmacy of North Adams

  • Community/Retail Pharmacy
  • North Adams, MA
  • NPI 1932649753
  NPD
• Fairview Hospital

  dba East Mountain Medical

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1689307985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ANCHOR DR STE 102",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563847",
            "telephone_number": "207-301-3660",
            "fax_number": "207-301-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANCHOR DR STE 102",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563847",
            "telephone_number": "207-301-3660",
            "fax_number": "207-301-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Northport Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "049156096",
            "country_code": "US",
            "telephone_number": "207-505-4367",
            "fax_number": "207-338-4486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "588 Longmeadow St",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011062292",
            "country_code": "US",
            "telephone_number": "413-535-1000 x0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSHENKO",
        "first_name": "ANGELICA",
        "middle_name": "G",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA3090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Minnix
• Thomas Michael Mitchell, M.D.
• Eileen Marie Molloy, M.S., R.D.N. C.D.E.
• Erin Leigh Monberg, CNM
• Michelle Suzanne Morgan, ANP-BC
• Ashley E Mychak, DPM
• Jennifer O Mytar, DO
• Barbara Nadeau
• Emily Ann Nelson, MD
• Neuropsychology and Concussion Management Associates LLC

• Physician Assistant in Rockport, ME
• Providers in Rockport, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.