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ALISA K ROMERO PA-C
NPI 1902102445
Physician Assistant - Surgical in Fort Myers, FL

Active since February 01, 2011PECOS Enrolled
12700 CREEKSIDE LANE, SUITE 101, FORT MYERS, FL 33919(239) 432-0774(239) 432-9404 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alisa K Romero Pa-c NPPES

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

ALISA K ROMERO PA-C (NPI 1902102445) is an individual surgical provider in Fort Myers, Florida, licensed in Florida (PA9105863) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902102445
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALISA K ROMEROCredential: PA-C
Location Address12700 CREEKSIDE LANE, SUITE 101Fort Myers, FL 33919-3356
Mailing Address12700 Creekside Lane, Suite 101Fort Myers, FL 33919-3356 · (239) 432-0774 · Fax (239) 432-0229
Phone(239) 432-0774
Fax(239) 432-9404
Sole ProprietorNo
Enumeration DateFebruary 1, 2011
Last NPPES UpdateNovember 6, 2013
✔ NPI 1902102445 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 FL · PA9105863
12700 CREEKSIDE LANE, Fort Myers, FL 33919
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Other Names 1

Former Name (1)Alisa Santiago Pa-c

Other Identifiers 4

OtherY06NSFL · Bcbs
Medicare NSC1290460001FL
Medicare PINEO272ZFL
Medicaid003261200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa K Romero Pa-c 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.

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 Alisa Romero's NPI number?

The NPI number for Alisa Romero is 1902102445. It was assigned to this individual provider in the NPPES registry on February 1, 2011. The provider is also known as Alisa Santiago Pa-C.

Where is Alisa Romero located?

Alisa Romero practices at 12700 Creekside Lane Suite 101, Fort Myers, FL 33919. The listed phone number is (239) 432-0774.

What is Alisa Romero's specialty?

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

Is Alisa Romero enrolled in Medicare?

Yes. Alisa Romero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alisa Romero was last updated on November 6, 2013. 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.