MRS. LISSY DAVIS POULOSE (APRN) – Adult Health Nurse Practitioner, NPI 1790937670
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for MRS. LISSY DAVIS POULOSE (APRN)
157 Church St Fl 19
New Haven, CT 065102100
Phone: (866) 949-0108
Type: Location
324, Elm Street, Monroe, Fairfield County, Connecticut, 06468, United States
STE 202B
MONROE, CT 064682284
Phone: (203) 880-5335
Fax: (203) 907-1234
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2023-01-25 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($46).
Total Amount
$46
General + Research + Ownership
Payments
1
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $46 |
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: 2008-12-05
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 |
|---|---|---|---|---|
| I20081205000706 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 230 | 68 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 118 | 46 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 06510)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT |
Reviews
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