LISA E SHAKUN (PA-C) – Physician Assistant, NPI 1154561884
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
Provider Addresses for LISA E SHAKUN (PA-C)
31 OLD ROUTE 7
BROOKFIELD, CT 068041711
Phone: (860) 650-3848
Type: Mailing
31 Old Route 7
Brookfield, CT 068041711
Phone: (475) 253-2599
Type: Location
55 Hazard Ave
Enfield, CT 060823826
Phone: (860) 650-3848
Type: Location
80 Route 6 Ste 704-705
Baldwin Place, NY 105051026
Phone: (475) 253-2599
Type: Location
245, Alvord Park Road, Torrington, Litchfield County, Connecticut, 06790, United States
TORRINGTON, CT 067903493
Phone: (860) 482-8539
Fax: (860) 482-0258
Type: Mailing
370 MIDDLE TPKE W
MANCHESTER, CT 060403824
Phone: (860) 650-3848
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Becton, Dickinson and Company ($71).
Total Amount
$141
General + Research + Ownership
Payments
2
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $71 |
| Medline Industries LP | $71 |
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: 2020-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20090612000547 | I | Physician Assistant | CT | TBD |
| I20200501002759 | I | Physician Assistant | MA | TBD |
| I20200508000218 | I | Physician Assistant | NY | 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 | 42 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 14 | 14 | $0 |
| 81003 | Automated urinalysis test | 13 | 13 | $0 |
Insurance plans in this area (ZIP 06804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| - | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | NY | |
| - | PA | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT |
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