AUDREY MARIE LASTRA PA-C
NPI 1104105600
Physician Assistant - Medical in New Haven, CT

Active since August 15, 2011PECOS EnrolledAccepts Medicare Assignment
1450 CHAPEL ST, NEW HAVEN, CT 06511(203) 770-8712 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audrey Marie Lastra Pa-c NPPES

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

AUDREY MARIE LASTRA PA-C (NPI 1104105600) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (002593) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104105600
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAUDREY MARIE LASTRACredential: PA-C
Location Address1450 CHAPEL STNew Haven, CT 06511-4405
Mailing Address1450 Chapel StNew Haven, CT 06511-4405 · (203) 770-8712
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 15, 2011
NPI 1104105600 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 CT · 002593
1450 CHAPEL ST, New Haven, CT 06511

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

Audrey Marie Lastra 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 ID4082888334
PECOS Enrollment IDI20111122000660
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services100 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
12 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 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.

Radiology (Therapeutic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Internal Medicine
1450 CHAPEL ST, HAELEN CENTER
NEW HAVEN, CT 06511
Pharmacist (Pharmacotherapy)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Physician Assistant
1450 CHAPEL ST
NEW HAVEN, CT 06511
Speech-Language Pathologist
1450 CHAPEL ST
NEW HAVEN, CT 06511
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Physician Assistant (Medical)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Internal Medicine
1450 CHAPEL ST, ADULT PRIMARY CARE CENTER
NEW HAVEN, CT 06511

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 Audrey Lastra's NPI number?

The NPI number for Audrey Lastra is 1104105600. It was assigned to this individual provider in the NPPES registry on August 15, 2011.

Where is Audrey Lastra located?

Audrey Lastra practices at 1450 Chapel St, New Haven, CT 06511. The listed phone number is (203) 770-8712.

What is Audrey Lastra's specialty?

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

Is Audrey Lastra enrolled in Medicare?

Yes. Audrey Lastra 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 Audrey Lastra was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.