LISA COELHO PA-C
NPI 1962956540
Physician Assistant - Surgical in San Antonio, TX

Q: What is Lisa Coelho's NPI number?

The NPI number for Lisa Coelho is 1962956540. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Q: What is Lisa Coelho's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Coelho was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 11, 2016PECOS EnrolledAccepts Medicare Assignment

9635 HUEBNER RD, SAN ANTONIO, TX 78240(210) 692-1181(210) 994-9482 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Sep 28, 2018, Aug 11, 2016 (3 updates tracked since 2016).

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About Lisa Coelho Pa-c NPPES

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

LISA COELHO PA-C (NPI 1962956540) is an individual surgical provider in San Antonio, Texas, licensed in Texas (PA10634) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962956540

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLISA COELHOCredential: PA-C

Location Address9635 HUEBNER RDSan Antonio, TX 78240-1512

Mailing Address9635 Huebner RdSan Antonio, TX 78240-1512 · (210) 692-1181 · Fax (210) 641-7577

Phone(210) 692-1181

Fax(210) 994-9482

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 11, 2016

Last NPPES UpdateSeptember 29, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2022

✔ NPI 1962956540 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 TX · PA10634

9635 HUEBNER RD, San Antonio, TX 78240

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Lisa Coelho Pa-c 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 ID4486937125

PECOS Enrollment IDI20170203001003

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 15

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

PLASTIC, RECONSTRUCTIVE & MICROSURGICAL ASSOCIATES OF SOUTH TEXAS PLLC

Surgery (Plastic and Reconstructive Surgery)