MRS. LISSY DAVIS POULOSE APRN
NPI 1790937670
Nurse Practitioner - Adult Health in Monroe, CT
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Lissy Poulose reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stamford, CT 06902
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Careconnectmd Connecticut P.C.
- 168 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Connecticut enrollment
- 142 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Connecticut enrollment
- 149 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, Connecticut enrollment
- 135 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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
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.
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.
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.
Which organizations bill Medicare for Lissy Poulose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lissy Poulose reassigns Medicare benefits to 5 organizations: Careconnectmd Connecticut PC (Stamford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Value Based Long Term Care H PC (Framingham, MA), Hdc Care Solutions, LLC (Framingham, MA) and Healthdrive Medical Services Southeast LLC (Columbia, MD). 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 Lissy Poulose'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 Lissy Poulose was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Lissy Davis Poulose, APRN · NPI 1790937670
Adult Health physician in Monroe, Connecticut. Individual provider, active in the CMS NPPES registry since October 22, 2008.
## Identity
- **NPI:** 1790937670 (Entity type: Individual)
- **Enumerated:** October 22, 2008
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 003902 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 324 ELM ST, STE 202B, Monroe, CT 06468-2284
- **Phone:** (203) 880-5335 · **Fax:** (203) 907-1234
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Careconnectmd Connecticut PC (NPI 1467187336, Stamford, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Value Based Long Term Care H PC (NPI 1134951676, Framingham, MA); Hdc Care Solutions, LLC (NPI 1033861349, Framingham, MA); Healthdrive Medical Services Southeast LLC (NPI 1437930146, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790937670) · Data from the CMS NPPES public registry.