ALISHA CANOA – Psychiatric/Mental Health Nurse Practitioner, NPI 1679319438

Psychiatric/Mental Health Nurse Practitioner

ALISHA CANOA is a healthcare provider. based in Chicopee, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. 260298 (MA). The NPI Number for ALISHA CANOA is 1679319438

Main info

Female

2 Years Of Experience

Name

ALISHA CANOA

NPI

1679319438

Phone

Not provided

Address

1109 GRANBY RD

Enumeration Date

2 July 2024

Last Update Date

16 January 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2024 (2 years ago)

PAC ID

9537683636

Professional Enrollment ID

I20250421002352

Address ID

MA011071104SP332XXAVEX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness85

Years active:1State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for ALISHA CANOA

1109 GRANBY RD
CHICOPEE, MA 010201568
Phone:
Mailing address matches the actual address.

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: 2025-04-21

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

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
I20250421002352	I	Nurse Practitioner	MA	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01020)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for ALISHA CANOA?

ALISHA CANOA — NPI 1679319438 — is the standard way to identify this listing.

Does CMS list ALISHA CANOA as active?

Yes — ALISHA CANOA is active in the NPI listing used on this page.

What taxonomy line describes ALISHA CANOA?

For research purposes, treat ALISHA CANOA as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect ALISHA CANOA on a map?

Expect Chicopee, Massachusetts as a primary anchor for ALISHA CANOA unless the record lists multiple sites.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.