COLLEEN MARGARET LIZEWSKI (PA-C) – Medical Physician Assistant, NPI 1760804512
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for COLLEEN MARGARET LIZEWSKI (PA-C)
420 S JACKSON ST
POTTSVILLE, PA 179013625
Phone: (570) 621-5847
Fax: (570) 621-5433
Type: Mailing
5540 Centerview Dr Ste 204 #66182
Raleigh, NC 276068012
Phone: (252) 455-9699
Type: Location
40 W FRACK ST
FRACKVILLE, PA 179311719
Phone: (570) 794-6123
Fax: (570) 794-6124
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 221 Open Payments records for all available years, with a total value of $4,020.
Total Amount is formed as General ($4,020) + Research ($0) + Ownership ($0) = $4,020.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($850).
Total Amount
$4,020
General + Research + Ownership
Payments
221
Total payment records
General Amount
$4,020
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $850 |
| AstraZeneca Pharmaceuticals LP | $645 |
| Lilly USA, LLC | $348 |
| GlaxoSmithKline, LLC. | $206 |
| ITI, Inc. | $198 |
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: 2015-11-17
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 |
|---|---|---|---|---|
| I20151117001651 | I | Physician Assistant | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | PA | |
| Family Practice | PA | |
| Mental Health Counselor | PA | |
| Physician Assistant | PA | |
| Clinical Social Worker | PA | |
| Nurse Practitioner | PA | |
| Mental Health Counselor | PA | |
| Nurse Practitioner | PA |
Reviews
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