MS. LISA LEIGH RICCI PA-C
NPI 1962748079
Physician Assistant - Medical in Wilmington, NC

Q: What is Lisa Ricci's NPI number?

The NPI number for Lisa Ricci is 1962748079. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Q: What is Lisa Ricci's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Ricci was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 17, 2012PECOS Enrolled

5115 OLEANDER DR, WILMINGTON, NC 28403(910) 362-1011(910) 362-1012 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Lisa Leigh Ricci Pa-c NPPES

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

MS. LISA LEIGH RICCI PA-C (NPI 1962748079) is an individual medical provider in Wilmington, North Carolina, licensed in North Carolina (0010-03981) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962748079

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. LISA LEIGH RICCICredential: PA-C

Location Address5115 OLEANDER DRWilmington, NC 28403-7018

Mailing Address4402 Shipyard BlvdWilmington, NC 28403-6161 · (910) 452-1400 · Fax (910) 332-1072

Phone(910) 362-1011

Fax(910) 362-1012

Sole ProprietorNo

Enumeration DateDecember 17, 2012

Last NPPES UpdateMay 17, 2016

✔ NPI 1962748079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

License✔ Licensed in NC · 0010-03981

5115 OLEANDER DR, Wilmington, NC 28403

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa Leigh Ricci 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.

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.

CALLIE BRINKER PA-C

Physician Assistant