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ALISSA MERCEDES PACHECO PA-C
NPI 1912740796
Physician Assistant in Middletown, RI

Active since June 18, 2024PECOS Enrolled
1272 W MAIN RD, MIDDLETOWN, RI 02842(401) 847-2290(401) 849-8446 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Nov 13, 2024, Jun 18, 2024 (3 updates tracked since 2024).

About Alissa Mercedes Pacheco Pa-c NPPES

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

ALISSA MERCEDES PACHECO PA-C (NPI 1912740796) is an individual physician assistant in Middletown, Rhode Island, licensed in Rhode Island (PA01720) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1912740796
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALISSA MERCEDES PACHECOCredential: PA-C
Location Address1272 W MAIN RDMiddletown, RI 02842-6405
Mailing Address30 Tenth St Apt 3East Providence, RI 02914-4814 · (774) 225-4793
Phone(401) 847-2290
Fax(401) 849-8446
Sole ProprietorNo
Enumeration DateJune 18, 2024
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1912740796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA01720
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1272 W MAIN RD, Middletown, RI 02842
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Secondary Practice Location 1

Location 1180 Corliss St Ste BProvidence, RI 02904-2602 · Phone (401) 793-8400 · Fax (401) 793-8401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alissa Mercedes Pacheco 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02842 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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 16

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

JANE O'CONNELL
Occupational Therapy Assistant
1272 W MAIN RD
MIDDLETOWN, RI 02842
Newport County (401) 683-8063
DR. JENNIFER GRANT BUDACKI D.O.
Pediatrics
1272 W MAIN RD
MIDDLETOWN, RI 02842
Newport County (401) 847-2290
MS. JULIE ANN MILLER LICSW
Social Worker (Clinical)
1272 W MAIN RD, BUILDING I
MIDDLETOWN, RI 02842
Newport County (401) 619-1634
EMILY ANNE LACASSE
Speech-Language Pathologist
1272 W MAIN RD
MIDDLETOWN, RI 02842
Newport County (401) 683-8063
AMANDA MARIE MANTON COTA/L
Occupational Therapy Assistant
1272 W MAIN RD
MIDDLETOWN, RI 02842
Newport County (401) 683-8063
MS. KATRINA PIMENTEL OTR/L
Occupational Therapist (Pediatrics)
1272 W MAIN RD
MIDDLETOWN, RI 02842
Newport County (401) 683-8063
SONYA FORD
Social Worker (Clinical)
1272 W MAIN RD
MIDDLETOWN, RI 02842
Newport County (401) 324-5382
AQUIDNECK PEDIATRICS LLC
Pediatrics
1272 W MAIN RD
MIDDLETOWN, RI 02842
Newport County (401) 847-2290

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 Alissa Pacheco's NPI number?

The NPI number for Alissa Pacheco is 1912740796. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Alissa Pacheco located?

Alissa Pacheco practices at 1272 W Main Rd, Middletown, RI 02842. The listed phone number is (401) 847-2290.

What is Alissa Pacheco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alissa Pacheco enrolled in Medicare?

Yes. Alissa Pacheco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alissa Pacheco was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.