MARCY D LISOTA (PAC) – Physician Assistant, NPI 1629051347
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for MARCY D LISOTA (PAC)
701 N Sprague St
Caledonia, MN 559211066
Phone: (507) 725-3353
Fax: (507) 725-5650
Type: Location
Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States
EAU CLAIRE, WI 547021510
Phone: (608) 785-0940
Type: Mailing
Mayo Clinic Health System - Franciscan Healthcare Onalaska, 191, Theater Road, Onalaska, Town of Medary, La Crosse County, Wisconsin, 54650, United States
ONALASKA, WI 54650
Phone: (608) 785-0940
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (608) 785-0940
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: 2011-02-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100806000065 | I | Physician Assistant | WI | TBD |
| I20110208000903 | I | Physician Assistant | MN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 55921)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| - | WI | |
| - | MN | |
| - | MN | |
| U R O L O G Y | WI | |
| Physician Assistant | MN |
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