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LISA DECARLO
NPI 1528467016
Nurse Practitioner - Family in Norwich, CT

Active since August 20, 2014PECOS Enrolled
330 WASHINGTON ST, SUITE 510, NORWICH, CT 06360(860) 885-1308(860) 889-1982 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Decarlo NPPES

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

LISA DECARLO (NPI 1528467016) is an individual family provider in Norwich, Connecticut, licensed in Connecticut (5857) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528467016
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA DECARLO
Location Address330 WASHINGTON ST, SUITE 510Norwich, CT 06360-2700
Mailing Address40 Mansfield AveWillimantic, CT 06226-2018 · (860) 450-7471
Phone(860) 885-1308
Fax(860) 889-1982
Sole ProprietorNo
Enumeration DateAugust 20, 2014
✔ NPI 1528467016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 5857
330 WASHINGTON ST, Norwich, CT 06360
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Decarlo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignments

2

Medicare enrollment records show Lisa Decarlo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The William W Backus Hospital
Same address
General Acute Care Hospital
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 clinicians in this Medicare group
NPI 1467517235 (860) 889-8331
Hartford Healthcare Urgent Care Centers, LLC
44 mi
Urgent Care
385 W MAIN ST
Avon, CT 06001
  • Reassigned Medicare billing, Connecticut enrollment
  • 182 clinicians in this Medicare group
NPI 1093239683 (860) 777-1280

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 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
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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 20

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

MELODY MUKON PA
Physician Assistant (Medical)
330 WASHINGTON ST, SUITE 220
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-8362
KANDHASAMY JAGATHAMBAL MD
Internal Medicine (Hematology & Oncology)
330 WASHINGTON ST, STE 220 EASTERN CT HEMATOLOGY & ONCOLOGY
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-8362
MRS. KATRINA DONNA SIVO-SOUZA DNP
Nurse Practitioner (Family)
330 WASHINGTON ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 885-1308
DR. ANTHONY G. ALESSI MD
Psychiatry & Neurology (Neurology)
330 WASHINGTON ST, SUITE 530
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 889-3227
ROBIN R WATSON MSN APRN
Nurse Practitioner
330 WASHINGTON ST, EASTERN CT HEMATOLOGY & ONCOLOGY SUITE 220
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 886-8362
MR. GREGORY R CRISCUOLO M.D.
Neurological Surgery
330 WASHINGTON ST, SUITE 540
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-5137
DR. THOMAS C CHERRY JR. MD
Surgery (Plastic and Reconstructive Surgery)
330 WASHINGTON ST, SUITE 410
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 425-5300
EASTERN CONNECTICUT NEUROSURGERY, P.C.
Neurological Surgery
330 WASHINGTON ST, SUITE 540
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-5137

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 Decarlo's NPI number?

The NPI number for Lisa Decarlo is 1528467016. It was assigned to this individual provider in the NPPES registry on August 20, 2014.

Where is Lisa Decarlo located?

Lisa Decarlo practices at 330 Washington St Suite 510, Norwich, CT 06360. The listed phone number is (860) 885-1308.

What is Lisa Decarlo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Decarlo enrolled in Medicare?

Yes. Lisa Decarlo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Decarlo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Decarlo reassigns Medicare benefits to 2 organizations: The William W Backus Hospital (Norwich, CT) and Hartford Healthcare Urgent Care Centers, LLC (Avon, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Decarlo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Decarlo was last updated on August 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.