MRS. LISSY DAVIS POULOSE APRN
NPI 1790937670
Nurse Practitioner - Adult Health in Monroe, CT

Active since October 22, 2008PECOS EnrolledAccepts Medicare Assignment
324 ELM ST, STE 202B, MONROE, CT 06468(203) 880-5335(203) 907-1234 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 21, 2022, Mar 19, 2016 (2 updates tracked since 2016).

About Mrs. Lissy Davis Poulose Aprn NPPES

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

MRS. LISSY DAVIS POULOSE APRN (NPI 1790937670) is an individual adult health provider in Monroe, Connecticut, licensed in Connecticut (003902) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1790937670
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. LISSY DAVIS POULOSECredential: APRN
Location Address324 ELM ST, STE 202BMonroe, CT 06468-2284
Mailing Address324 Elm St, Ste 202bMonroe, CT 06468-2284 · (203) 880-5335 · Fax (203) 907-1234
Fax(203) 907-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 22, 2008
Last NPPES UpdateJanuary 21, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
NPI 1790937670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 003902
324 ELM ST, Monroe, CT 06468

Secondary Practice Location 1

Location 1157 Church St Fl 19New Haven, CT 06510-2100 · Phone (866) 949-0108

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

Mrs. Lissy Davis Poulose Aprn 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 ID3072674274
PECOS Enrollment IDI20081205000706
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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
167 services47 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
138 services41 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06468 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.

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.

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
1%165 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers21 claims21 services$27.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$63.43 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers19 claims19 services$12.87 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$5.98 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 20

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

Dentist (General Practice)
324 ELM ST, SUITE 202A
MONROE, CT 06468
Dentist
324 ELM ST, SUITE 202A
MONROE, CT 06468
Dentist (Periodontics)
324 ELM ST, SUITE 103A
MONROE, CT 06468
Internal Medicine
324 ELM ST, SUITE 202B
MONROE, CT 06468
Nurse Practitioner (Adult Health)
324 ELM ST, SUITE 202B
MONROE, CT 06468
Nurse Practitioner (Adult Health)
324 ELM ST
MONROE, CT 06468
Marriage & Family Therapist
324 ELM ST, SUITE 204B
MONROE, CT 06468
Nurse Practitioner (Family)
324 ELM ST, SUITE 202B
MONROE, CT 06468

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 Lissy Poulose's NPI number?

The NPI number for Lissy Poulose is 1790937670. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Lissy Poulose located?

Lissy Poulose practices at 324 Elm St Ste 202B, Monroe, CT 06468. The listed phone number is (203) 880-5335.

What is Lissy Poulose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lissy Poulose enrolled in Medicare?

Yes. Lissy Poulose 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 Lissy Poulose was last updated on January 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.