LISA LOUISE SICKAU
NPI 1033430210
Specialist in Kenmore, NY
About Lisa Louise Sickau NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA LOUISE SICKAU (NPI 1033430210) is an individual specialist in Kenmore, New York, licensed in New York (023772-1) and active in the NPI registry since June 2010. She is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Louise Sickau 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Sickau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Greenbush, NY 12061
- Reassigned Medicare billing, New York enrollment
- 93 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BUFFALO, NY 14217
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 Sickau's NPI number?
The NPI number for Lisa Sickau is 1033430210. It was assigned to this individual provider in the NPPES registry on June 22, 2010.
Where is Lisa Sickau located?
Lisa Sickau practices at 2900 Delaware Ave, Kenmore, NY 14217. The listed phone number is (716) 871-9883.
What is Lisa Sickau's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Lisa Sickau enrolled in Medicare?
Yes. Lisa Sickau 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.
Which organization bills Medicare for Lisa Sickau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Sickau reassigns Medicare benefits to Prn Physical, Occupational And Speech Therapy Network, PLLC (East Greenbush, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Sickau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Sickau was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Louise Sickau · NPI 1033430210
Specialist provider in Kenmore, New York. Individual provider, active in the CMS NPPES registry since June 22, 2010.
## Identity
- **NPI:** 1033430210 (Entity type: Individual)
- **Enumerated:** June 22, 2010
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 023772-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2900 DELAWARE AVE, Kenmore, NY 14217-2309
- **Phone:** (716) 871-9883 · **Fax:** (716) 871-9887
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Prn Physical, Occupational And Speech Therapy Network, PLLC (NPI 1336185263, East Greenbush, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** June 22, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1033430210) · Data from the CMS NPPES public registry.