LISA MARIE AMBROGIO-DECOLA PA
NPI 1295741825
Physician Assistant - Surgical in Meriden, CT

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
435 LEWIS AVE STE 103, MERIDEN, CT 06451(203) 694-7550(203) 694-7555 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Marie Ambrogio-decola Pa NPPES

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

LISA MARIE AMBROGIO-DECOLA PA (NPI 1295741825) is an individual surgical provider in Meriden, Connecticut, licensed in Connecticut (001246) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1295741825
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLISA MARIE AMBROGIO-DECOLACredential: PA
Location Address435 LEWIS AVE STE 103Meriden, CT 06451-2101
Mailing Address435 Lewis Ave, Ste 103Meriden, CT 06451-2101 · (203) 789-3997 · Fax (203) 867-5216
Fax(203) 694-7555
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 26, 2019
NPI 1295741825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 001246
435 LEWIS AVE STE 103, Meriden, CT 06451

Secondary Practice Location 1

Location 11450 Chapel StNew Haven, CT 06511-4405 · Phone (203) 789-3997 · Fax (203) 867-5216

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 Marie Ambrogio-decola Pa 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 ID2264339175
PECOS Enrollment IDI20031218000210
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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 Ambrogio-decola's NPI number?

The NPI number for Lisa Ambrogio-decola is 1295741825. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Lisa Ambrogio-decola located?

Lisa Ambrogio-decola practices at 435 Lewis Ave Ste 103, Meriden, CT 06451. The listed phone number is (203) 694-7550.

What is Lisa Ambrogio-decola's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lisa Ambrogio-decola enrolled in Medicare?

Yes. Lisa Ambrogio-decola 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 Ambrogio-decola was last updated on June 26, 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.