MARIANNA B CARLISI (PA) – Physician Assistant, NPI 1184794364
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARIANNA B CARLISI (PA)
205, North Taylor Avenue, South Norwalk, Norwalk, Western Connecticut Planning Region, Connecticut, 06854, United States
NORWALK, CT 068541123
Phone: (718) 920-4058
Fax: (718) 798-0730
Type: Mailing
MMC - EMERGENCY MEDICINE
111 EAST 210TH STREET
BRONX, NY 10467
Phone: (718) 920-4058
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: 2014-08-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050301000836 | I | Physician Assistant | NY | TBD |
| I20140813001490 | I | Physician Assistant | CT | 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 |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 15 | 13 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 12 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 06854)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CT | |
| Physician Assistant | CT | |
| - | SC | |
| - | NY | |
| Physician Assistant | CT |
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