LISA E SHAKUN PA-C
NPI 1154561884
Physician Assistant in Manchester, CT

Active since February 20, 2009PECOS EnrolledAccepts Medicare Assignment
370 MIDDLE TPKE W, MANCHESTER, CT 06040(860) 650-3848 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa E Shakun Pa-c NPPES

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

LISA E SHAKUN PA-C (NPI 1154561884) is an individual physician assistant in Manchester, Connecticut, licensed in Connecticut (002236) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1154561884
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA E SHAKUNCredential: PA-C
Location Address370 MIDDLE TPKE WManchester, CT 06040-3824
Mailing Address31 Old Route 7Brookfield, CT 06804-1711 · (860) 650-3848
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 20, 2009
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
NPI 1154561884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CT · 002236 Licensed in NY · 013444 Licensed in MA · PA7540
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
370 MIDDLE TPKE W, Manchester, CT 06040

Secondary Practice Locations 3

Location 131 Old Route 7Brookfield, CT 06804-1711 · Phone (475) 253-2599
Location 255 Hazard AveEnfield, CT 06082-3826 · Phone (860) 650-3848
Location 380 Route 6 Ste 704-705Baldwin Place, NY 10505-1026 · Phone (475) 253-2599

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

Lisa E Shakun 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 ID1355491358
PECOS Enrollment IDI20090612000547
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

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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Urgent Care)
370 MIDDLE TPKE W
MANCHESTER, CT 06040
Nurse Practitioner (Family)
370 MIDDLE TPKE W
MANCHESTER, CT 06040
Physician Assistant
370 MIDDLE TPKE W
MANCHESTER, CT 06040
Clinic/Center (Urgent Care)
370 MIDDLE TPKE W
MANCHESTER, CT 06040

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 Shakun's NPI number?

The NPI number for Lisa Shakun is 1154561884. It was assigned to this individual provider in the NPPES registry on February 20, 2009.

Where is Lisa Shakun located?

Lisa Shakun practices at 370 Middle Tpke W, Manchester, CT 06040. The listed phone number is (860) 650-3848.

What is Lisa Shakun's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Shakun enrolled in Medicare?

Yes. Lisa Shakun 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 Lisa Shakun was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.