SEAN ERVIN LISK PA-C
NPI 1104252972
Physician Assistant - Medical in New Haven, CT
About Sean Ervin Lisk Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN ERVIN LISK PA-C (NPI 1104252972) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (3811) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of University Of Washington School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Sean Ervin Lisk 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.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW HAVEN, CT 06510
NEW HAVEN, CT 06510
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 Sean Lisk's NPI number?
The NPI number for Sean Lisk is 1104252972. It was assigned to this individual provider in the NPPES registry on September 24, 2013.
Where is Sean Lisk located?
Sean Lisk practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-2615.
What is Sean Lisk's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Sean Lisk enrolled in Medicare?
Yes. Sean Lisk 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 Sean Lisk was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sean Ervin Lisk, PA-C · NPI 1104252972
Medical physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since September 24, 2013.
## Identity
- **NPI:** 1104252972 (Entity type: Individual)
- **Enumerated:** September 24, 2013
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 3811 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 YORK ST, New Haven, CT 06510-3220
- **Phone:** (203) 688-2615
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Washington School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** December 28, 2021
- **Other identifiers:** Medicaid 1104252972 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1104252972) · Data from the CMS NPPES public registry.