MS. LEA ALEXIS IACOBBO PA-C
NPI 1073455788
Physician Assistant - Medical in Narragansett, RI

Q: What is Lea Iacobbo's NPI number?

The NPI number for Lea Iacobbo is 1073455788. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Q: What is Lea Iacobbo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lea Iacobbo was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since April 09, 2026PECOS Enrolled

14 WOODRUFF AVE STE 1, NARRAGANSETT, RI 02882(401) 789-8543 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2026, Apr 9, 2026 (2 updates tracked since 2026).

On this page

About Ms. Lea Alexis Iacobbo Pa-c NPPES

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

MS. LEA ALEXIS IACOBBO PA-C (NPI 1073455788) is an individual medical provider in Narragansett, Rhode Island, licensed in Rhode Island (PA01907) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1073455788

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. LEA ALEXIS IACOBBOCredential: PA-C

Location Address14 WOODRUFF AVE STE 1Narragansett, RI 02882-3467

Mailing AddressPo Box 229Wakefield, RI 02880-0229 · (401) 788-3929 · Fax (401) 788-3939

Phone(401) 789-8543

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateApril 9, 2026

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1073455788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in RI · PA01907

14 WOODRUFF AVE STE 1, Narragansett, RI 02882

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1268 Post Rd Ste 203Westerly, RI 02891-6601 · Phone (401) 604-2530

Location 2120 Centerville Rd Ste 2Warwick, RI 02886-4336 · Phone (401) 562-1020

Location 33461 S County Trl Ste 301East Greenwich, RI 02818-1463 · Phone (401) 471-6760

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lea Alexis Iacobbo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385102631

PECOS Enrollment IDI20260817002807

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.

Other Providers at the Same Location NPPES 6

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

SILVER SPRING HEALTH CARE MANAGEMENT, INC.

Family Medicine