MRS. DEIRDRE LYNN MONAHAN (PA-C) – Medical Physician Assistant, NPI 1962736892

MRS. DEIRDRE LYNN MONAHAN (PA-C) is a healthcare provider. based in Putnam, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MAPA4438 (MA). The NPI Number for MRS. DEIRDRE LYNN MONAHAN (PA-C) is 1962736892

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DEIRDRE LYNN MONAHAN (PA-C)
NPI
1962736892
Phone
(860) 928-6541
Address
147 KILLINGLY AVE
Enumeration Date
24 September 2009
Last Update Date
15 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
7214076769
Group Practice PAC ID
7416024419
Professional Enrollment ID
I20091123000556
Address ID
CT062601803Pu145XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:16State licenses:3Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for MRS. DEIRDRE LYNN MONAHAN (PA-C)

  • 147, Killingly Avenue, Putnam Heights, Putnam, Northeastern Connecticut Planning Region, Connecticut, 06260, United States

    PUTNAM, CT 06260

    Phone: (860) 928-6541

    Type: Mailing

  • Day Kimball Hospital, 320, Pomfret Street, Putnam, Windham County, Connecticut, 06260, United States

    PUTNAM, CT 06260

    Phone: (860) 928-7503

    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: 2010-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091123000556IPhysician AssistantCTTBD
I20100527000311IPhysician AssistantFLTBD

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
99284Emergency department visit with moderate level of medical decision making4342$0
99285Emergency department visit with high level of medical decision making2020$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1414$0
View full utilization report →

Insurance plans in this area (ZIP 06260)

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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: 7416024419View full group profile
NameSpecialtyState
Qualified AudiologistMI
Qualified AudiologistCT
Nurse PractitionerCT
-CT
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YCT

Reviews

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Frequently asked questions

How is MRS. DEIRDRE LYNN MONAHAN (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. DEIRDRE LYNN MONAHAN (PA-C) with NPI 1962736892.
Is MRS. DEIRDRE LYNN MONAHAN (PA-C) listed as active for patients and plans?
The listing shows MRS. DEIRDRE LYNN MONAHAN (PA-C) as active in the NPI system.
What healthcare role does MRS. DEIRDRE LYNN MONAHAN (PA-C) hold?
Scheduling teams often label MRS. DEIRDRE LYNN MONAHAN (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. DEIRDRE LYNN MONAHAN (PA-C)?
MRS. DEIRDRE LYNN MONAHAN (PA-C)'s geographic hint is Putnam, Connecticut in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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