MS. ALISA LYUDMILA DA COSTA-RODRIGUES APRN
NPI 1053603118
Nurse Practitioner - Family in Coventry, CT
About Ms. Alisa Lyudmila Da Costa-rodrigues Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ALISA LYUDMILA DA COSTA-RODRIGUES APRN (NPI 1053603118) is an individual family provider in Coventry, Connecticut, licensed in Connecticut (12.007158) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Forest Hills, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Alisa Lyudmila Da Costa-rodrigues Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Alisa Da Costa-rodrigues reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vernon, CT 06066
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Afc Physicians Of Connecticut PC
- 62 clinicians in this Medicare group
Avon, CT 06001
- Reassigned Medicare billing, Connecticut enrollment
- 182 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06238 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COVENTRY, CT 06238
COVENTRY, CT 06238
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 Alisa Da Costa-rodrigues's NPI number?
The NPI number for Alisa Da Costa-rodrigues is 1053603118. It was assigned to this individual provider in the NPPES registry on May 9, 2011.
Where is Alisa Da Costa-rodrigues located?
Alisa Da Costa-rodrigues practices at 3514 Main St, Coventry, CT 06238. The listed phone number is (866) 389-2727.
What is Alisa Da Costa-rodrigues's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alisa Da Costa-rodrigues enrolled in Medicare?
Yes. Alisa Da Costa-rodrigues is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alisa Da Costa-rodrigues's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Da Costa-rodrigues reassigns Medicare benefits to 2 organizations: Ctuc01 (Vernon, CT) and Hartford Healthcare Urgent Care Centers, LLC (Avon, CT). Each 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 Alisa Da Costa-rodrigues'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 Alisa Da Costa-rodrigues was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ms. Alisa Lyudmila Da Costa-Rodrigues, APRN · NPI 1053603118
Family physician in Coventry, Connecticut. Individual provider, active in the CMS NPPES registry since May 9, 2011.
## Identity
- **NPI:** 1053603118 (Entity type: Individual)
- **Enumerated:** May 9, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12.007158 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3514 MAIN ST, Coventry, CT 06238-1551
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ctuc01 (NPI 1922539592, Vernon, CT); Hartford Healthcare Urgent Care Centers, LLC (NPI 1093239683, Avon, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1053603118) · Data from the CMS NPPES public registry.