ALISHA BOURASSA – Certified Registered Nurse Anesthetist, NPI 1689983280

ALISHA BOURASSA is a healthcare provider. based in Middletown, Connecticut. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 076422 (CT). The NPI Number for ALISHA BOURASSA is 1689983280

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ALISHA BOURASSA
NPI
1689983280
Phone
(203) 915-5701
Address
28 CRESCENT ST
Enumeration Date
29 September 2010
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603470720
Graduation Year
2010 (16 years ago)
PAC ID
5193908739
Group Practice PAC ID
2769479781
Professional Enrollment ID
I20110321000185
Address ID
CT064573654MI28XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

Provider Addresses for ALISHA BOURASSA

  • 28 CRESCENT ST

    MIDDLETOWN, CT 064573654

    Phone: (203) 915-5701

    Type: Location

  • 114 Woodland St

    Hartford, CT 061051208

    Phone: (860) 714-6654

    Type: Location

  • 79R WILDWOOD CIR

    DURHAM, CT 064222605

    Phone: (203) 915-5701

    Type: Mailing

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: 2011-03-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110321000185ICertified Registered Nurse Anesthetist (Crna)CTTBD

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
00142Anesthesia for lens surgery2826$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 06457)

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Provider's Procedures

ALISHA BOURASSA performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETCT01402Anesthesia for open or endoscopic total knee joint replacement2423

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: 2769479781View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
-CT
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YCT
-MA
-CT
Certified Registered Nurse Anesthetist (Crna)CT
-CT

Reviews

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Frequently asked questions

What is the standard ID for ALISHA BOURASSA in the U.S.?
In the U.S., ALISHA BOURASSA is identified by NPI 1689983280.
Should I treat ALISHA BOURASSA as an active provider?
Patients and plans typically see ALISHA BOURASSA as active in the national extract.
What services align with ALISHA BOURASSA's listing?
ALISHA BOURASSA's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to ALISHA BOURASSA?
The directory associates ALISHA BOURASSA with Middletown, Connecticut. Check all listed addresses for suites or satellite offices.
Can I export ALISHA BOURASSA's record?
You can download the official NPPES record; we summarize key fields for readability.

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