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LISA PETRICCA PA-C
NPI 1003439936
Physician Assistant - Medical in Farmington, CT

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
263 FARMINGTON AVENUE, FARMINGTON, CT 06030(860) 679-2100(860) 679-4815 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2023, Aug 11, 2022, May 27, 2020 (3 updates tracked since 2020).

About Lisa Petricca Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA PETRICCA PA-C (NPI 1003439936) is an individual medical provider in Farmington, Connecticut, licensed in Connecticut (004952) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003439936
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA PETRICCACredential: PA-C
Location Address263 FARMINGTON AVENUEFarmington, CT 06030-8040
Mailing Address263 Farmington AvenueFarmington, CT 06030-8040 · (860) 679-2100 · Fax (860) 679-4815
Phone(860) 679-2100
Fax(860) 679-4815
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2020
Last NPPES UpdateFebruary 14, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1003439936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 004952
Also ListedPhysician AssistantTaxonomy 363A00000X
263 FARMINGTON AVENUE, Farmington, CT 06030
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Secondary Practice Location 1

Location 128 Berkshire DrFarmington, CT 06032-2506 · Phone (860) 830-1556

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Petricca Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153793070
PECOS Enrollment IDI20230202000607
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
43 services37 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
25 services22 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAROUN SFEIR
Pathology (Anatomic Pathology)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2980
SHASHANK NAGARAJ PATIL MD
Neurological Surgery
263 FARMINGTON AVENUE, UCONN HEALTH, DEPARTMENT OF SURGERY
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4617
DR. RICHARD KENT WAGNER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3387
DR. MICHAEL CHRISTOPHER SOBIERAJ MD, PHD
Orthopaedic Surgery
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. ANA ALEYDA MORALES MD
Ophthalmology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3540
DR. AKUA POKUAH SARFO MD/PHD
Dermatology
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4600
JENNIFER MARIE GARDNER APRN
Nurse Practitioner (Family)
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2100
ALEXANDER HAHN MD
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6679

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Petricca's NPI number?

The NPI number for Lisa Petricca is 1003439936. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Lisa Petricca located?

Lisa Petricca practices at 263 Farmington Avenue, Farmington, CT 06030. The listed phone number is (860) 679-2100.

What is Lisa Petricca's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lisa Petricca enrolled in Medicare?

Yes. Lisa Petricca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Petricca was last updated on February 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.