ALISSA PASCUCCI – Family Nurse Practitioner, NPI 1144764507

ALISSA PASCUCCI is a healthcare provider. based in Broad brook, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 6829 (CT). The NPI Number for ALISSA PASCUCCI is 1144764507

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA PASCUCCI
NPI
1144764507
Phone
(413) 636-4918
Address
66 THRALL RD
Enumeration Date
5 December 2016
Last Update Date
14 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135342697
Graduation Year
2016 (10 years ago)
PAC ID
9931462249
Group Practice PAC ID
5799767109
Professional Enrollment ID
I20180619002134
Address ID
MA010402223HO575XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for ALISSA PASCUCCI

  • 66 THRALL RD

    BROAD BROOK, CT 060169773

    Phone: (413) 636-4918

    Type: Mailing

  • 575 BEECH ST

    HOLYOKE, MA 010402223

    Phone: (413) 534-2570

    Type: Location

  • 791 PIPER RD

    WEST SPRINGFIELD, MA 010894648

    Phone: (413) 636-4918

    Type: Mailing

  • 282 WASHINGTON ST

    HARTFORD, CT 061063322

    Phone: (860) 545-5000

    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: 2018-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180420000152INurse PractitionerCTTBD
I20180619002134INurse PractitionerMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making1818$0
99284Emergency department visit with moderate level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 06016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799767109View full group profile
NameSpecialtyState
-FL
Emergency MedicineAL
Physician AssistantMA
Physician AssistantIL
Physician AssistantMA
Physician AssistantMA
Internal MedicineMA
Physician AssistantMA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Is there an official ID for ALISSA PASCUCCI in U.S. healthcare records?
The official identifier for ALISSA PASCUCCI is NPI 1144764507.
Is ALISSA PASCUCCI shown as active in public data?
Registry records indicate ALISSA PASCUCCI maintains an active NPI.
What kind of doctor is ALISSA PASCUCCI?
ALISSA PASCUCCI is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Connecticut is ALISSA PASCUCCI registered?
Use Broad Brook, Connecticut as the headline location for ALISSA PASCUCCI here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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