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LISA J. SOUSOU P.A.
NPI 1255449948
Physician Assistant in Fulton, NY

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
522 S 4TH ST STE 500, FULTON, NY 13069(315) 598-4740(315) 598-4728 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa J. Sousou P.a. NPPES

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

LISA J. SOUSOU P.A. (NPI 1255449948) is an individual physician assistant in Fulton, New York, licensed in New York (008094) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1255449948
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA J. SOUSOUCredential: P.A.
Location Address522 S 4TH ST STE 500Fulton, NY 13069-2936
Mailing Address239 Oneida StFulton, NY 13069-1228 · (315) 598-4715 · Fax (315) 598-4733
Phone(315) 598-4740
Fax(315) 598-4728
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 20, 2019
✔ NPI 1255449948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 008094
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.
522 S 4TH ST STE 500, Fulton, NY 13069
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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 J. Sousou P.a. 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 ID6002930187
PECOS Enrollment IDI20100826000007
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

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13069 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 2

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

HEATHER M SHANNON NP
Nurse Practitioner (Women's Health)
522 S 4TH ST STE 500
FULTON, NY 13069
Oswego County (315) 598-4740
SAMANTHA SHEGGRUD P.A.
Physician Assistant
522 S 4TH ST STE 500
FULTON, NY 13069
Oswego County (315) 598-4790

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 Sousou's NPI number?

The NPI number for Lisa Sousou is 1255449948. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Lisa Sousou located?

Lisa Sousou practices at 522 S 4th St Ste 500, Fulton, NY 13069. The listed phone number is (315) 598-4740.

What is Lisa Sousou's specialty?

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

Is Lisa Sousou enrolled in Medicare?

Yes. Lisa Sousou 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 Sousou affiliated with any hospitals?

According to CMS data, Lisa Sousou is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Sousou was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.