LISA N MCELLIGOTT (PA-C) – Physician Assistant, NPI 1124260930
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
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Provider Addresses for LISA N MCELLIGOTT (PA-C)
Saint Mary's Hospital, 56, Franklin Street, Exchange Place, Waterbury, New Haven County, Connecticut, 06706, United States
WATERBURY, CT 067061253
Phone: (203) 709-6000
Type: Mailing
PO BOX 746654
ATLANTA, GA 303746654
Phone: (904) 202-2092
Fax: (904) 376-4075
Type: Mailing
1301 PALM AVE STE 700
JACKSONVILLE, FL 322078457
Phone: (904) 202-7300
Fax: (904) 202-2754
Type: Location
1301 PALM AVE
JACKSONVILLE, FL 322078432
Phone: (904) 202-7300
Fax: (904) 202-7433
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220428002631 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 06706)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery | FL | |
| Nurse Practitioner | MO | |
| Physician Assistant | GA | |
| Physician Assistant | PA | |
| - | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Physician Assistant | FL |
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