MS. LISA J TRICKEY PA C
NPI 1225030752
Physician Assistant - Medical in Watertown, NY

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
1340 WASHINGTON ST, WATERTOWN, NY 13601(315) 782-9003(315) 782-9010 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Mar 31, 2020 (2 updates tracked since 2020).

About Ms. Lisa J Trickey Pa C NPPES

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

MS. LISA J TRICKEY PA C (NPI 1225030752) is an individual medical provider in Watertown, New York, licensed in New York (0050661) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1225030752
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. LISA J TRICKEYCredential: PA C
Location Address1340 WASHINGTON STWatertown, NY 13601-4541
Mailing Address53-59 Public Square, Internal Medicine Of Northern New York Suite 201Watertown, NY 13601-2674 · (315) 782-4950 · Fax (315) 782-3699
Fax(315) 782-9010
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 15, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2020
NPI 1225030752 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 NY · 0050661
1340 WASHINGTON ST, Watertown, NY 13601

Secondary Practice Location 1

Location 153-59 Public Square, Internal Medicine of Northern New York Suite 201Watertown, NY 13601-2674 · Phone (315) 782-4950 · Fax (315) 782-3699

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

Ms. Lisa J Trickey 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 ID8820067044
PECOS Enrollment IDI20040924000866
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

River Hospital Clinics

Critical Access Hospitals · Alexandria Bay, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331309
Location4 Fuller StreetAlexandria Bay, NY 13607 · Jefferson County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$36.38 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims30 services$33.86 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims84 services$2.16 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers26 claims26 services$33.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Sleep Medicine)
1340 WASHINGTON ST
WATERTOWN, NY 13601
Radiology (Diagnostic Radiology)
1340 WASHINGTON ST
WATERTOWN, NY 13601
Psychiatry & Neurology (Neurology)
1340 WASHINGTON ST
WATERTOWN, NY 13601
Physician Assistant
1340 WASHINGTON ST
WATERTOWN, NY 13601
Psychiatry & Neurology (Neurology)
1340 WASHINGTON ST
WATERTOWN, NY 13601
Neuromusculoskeletal Medicine & OMM
1340 WASHINGTON ST
WATERTOWN, NY 13601
Radiology (Diagnostic Radiology)
1340 WASHINGTON ST
WATERTOWN, NY 13601
Dentist
1340 WASHINGTON ST
WATERTOWN, NY 13601

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 Trickey's NPI number?

The NPI number for Lisa Trickey is 1225030752. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Lisa Trickey located?

Lisa Trickey practices at 1340 Washington St, Watertown, NY 13601. The listed phone number is (315) 782-9003.

What is Lisa Trickey's specialty?

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

Is Lisa Trickey enrolled in Medicare?

Yes. Lisa Trickey 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.

Is Lisa Trickey affiliated with any hospitals?

According to CMS data, Lisa Trickey is affiliated with Samaritan Medical Center and River Hospital Clinics.

When was this NPI record last updated?

The NPPES record for Lisa Trickey was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.