MS. NICOLE LISSANDRI (PA-C) – Surgical Physician Assistant, NPI 1548669716

MS. NICOLE LISSANDRI (PA-C) is a healthcare provider. based in Springfield, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA5080 (MA). The NPI Number for MS. NICOLE LISSANDRI (PA-C) is 1548669716

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. NICOLE LISSANDRI (PA-C)
NPI
1548669716
Phone
(413) 748-9000
Address
271 CAREW ST
Enumeration Date
14 August 2014
Last Update Date
25 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137489000
Graduation Year
2014 (12 years ago)
PAC ID
1153647771
Group Practice PAC ID
5698064343
Professional Enrollment ID
I20150225002480
Address ID
MA011042377SP271XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MS. NICOLE LISSANDRI (PA-C)

  • 271 CAREW ST

    SPRINGFIELD, MA 011042377

    Phone: (413) 748-9000

    Type: Location

  • 8 CHRISTINE DR

    WEST SPRINGFIELD, MA 010892230

    Phone: (413) 265-1286

    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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: CONMED Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CONMED Corporation$20
View all Open Payments →|Open Payments Risk Radar →

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: 2015-02-25

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
I20150225002480IPhysician AssistantMATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 01104)

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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: 5698064343View full group profile

Reviews

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Frequently asked questions

How do payers reference MS. NICOLE LISSANDRI (PA-C)?
For MS. NICOLE LISSANDRI (PA-C), use NPI 1548669716 as the unique 10-digit identifier.
Is there an active status for MS. NICOLE LISSANDRI (PA-C)?
For scheduling context, MS. NICOLE LISSANDRI (PA-C) is shown as active in the registry.
What clinical focus is listed for MS. NICOLE LISSANDRI (PA-C)?
At a glance, MS. NICOLE LISSANDRI (PA-C) is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. NICOLE LISSANDRI (PA-C)?
Travel planning: use Springfield, Massachusetts as the reference point for MS. NICOLE LISSANDRI (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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