MRS. LISA A SHEA (PAC) – Physician Assistant, NPI 1619975919
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
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Provider Addresses for MRS. LISA A SHEA (PAC)
82, New Park Avenue, Franklin, New London County, Connecticut, 06254, United States
NORTH FRANKLIN, CT 062541807
Phone: (860) 889-7345
Fax: (860) 885-7225
Type: Mailing
11 Industrial Park Rd
Niantic, CT 063571210
Phone: (860) 889-7345
Type: Location
195 Eastern Blvd Ste 201
Glastonbury, CT 060334353
Phone: (860) 246-4260
Fax: (860) 430-9770
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: 2008-09-16
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 |
|---|---|---|---|---|
| I20080916000421 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 208 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 06254)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CT | 73140 | X-ray of fingers, minimum of 2 views | 20 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CT | |
| - | CT | |
| - | CT | |
| Physical Therapist In Private Practice | CT | |
| Physician Assistant | CT | |
| Orthopedic Surgery | CT | |
| Physician Assistant | CT | |
| Physical Therapist In Private Practice | CT | |
| Orthopedic Surgery | RI | |
| Physical Therapist In Private Practice | CT |
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