LISA MARIE TANGUAY PA
NPI 1659307916
Physician Assistant - Surgical in Waterbury, CT

Q: What is Lisa Tanguay's NPI number?

The NPI number for Lisa Tanguay is 1659307916. It was assigned to this individual provider in the NPPES registry on June 25, 2006. The provider is also known as Lisa Marie Warych PA.

Q: What is Lisa Tanguay's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Tanguay was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment

56 FRANKLIN ST, WATERBURY, CT 06706(203) 709-6314(203) 709-6089 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 7, 2026, Mar 5, 2024 (2 updates tracked since 2024).

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About Lisa Marie Tanguay Pa NPPES

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

LISA MARIE TANGUAY PA (NPI 1659307916) is an individual surgical provider in Waterbury, Connecticut, licensed in Connecticut (000863) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Waterbury, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1659307916

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLISA MARIE TANGUAYCredential: PA

Location Address56 FRANKLIN STWaterbury, CT 06706-1221

Mailing Address56 Franklin St, 3rd FloorWaterbury, CT 06706-1221 · (203) 709-8873 · Fax (203) 709-8689

Phone(203) 709-6314

Fax(203) 709-6089

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 25, 2006

Last NPPES UpdateMay 7, 20262 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1659307916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CT · 000863

Also ListedPhysician AssistantTaxonomy 363A00000X · License 000863 (CT)

56 FRANKLIN ST, Waterbury, CT 06706

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Other Names 1

Former Name (1)Lisa Marie Warych Pa

Secondary Practice Location 1

Location 1133 Scovill StWaterbury, CT 06706-1127 · Phone (203) 709-6680

Other Identifiers 10

Other061470493CT · Coventry/first Health

Other080863CT · Connecticare

Other290000863CT11CT · Anthem Bcbs Ct

Other2V1632CT · Healthnet/commercial

Medicaid008010398CT

Other208796CT · Wellcare

Other22-59899CT · Americhoice

Other877800CT · Usa

Other9886225CT · Aetna

OtherP3134207CT · Oxford

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 Tanguay 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 ID4385699842

PECOS Enrollment IDI20050317000258

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services18 patients

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.

CHARIS WIPFLER

Nurse Practitioner (Critical Care Medicine)