LISA COELHO (PA-C) – Surgical Physician Assistant, NPI 1962956540

LISA COELHO (PA-C) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10634 (TX). The NPI Number for LISA COELHO (PA-C) is 1962956540

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LISA COELHO (PA-C)
NPI
1962956540
Phone
(210) 692-1181
Address
9635 HUEBNER RD
Enumeration Date
11 August 2016
Last Update Date
29 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106644446
Graduation Year
2016 (10 years ago)
PAC ID
4486937125
Group Practice PAC ID
8628328333
Professional Enrollment ID
I20170203001003
Address ID
TX782333263LI12315RDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for LISA COELHO (PA-C)

  • 9635 HUEBNER RD

    SAN ANTONIO, TX 782401512

    Phone: (210) 692-1181

    Fax: (210) 641-7577

    Type: Mailing

  • 4330 MEDICAL DR

    SUITE 325

    SAN ANTONIO, TX 782293342

    Phone: (210) 615-7700

    Fax: (210) 994-9482

    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: 2017-02-03

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
I20170203001003IPhysician AssistantTXTBD

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 78240)

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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: 8628328333View full group profile
NameSpecialtyState
Interventional Pain Management, Anesthesiology, Pain ManagementTX

Reviews

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Frequently asked questions

Can I cross-check LISA COELHO (PA-C) using NPI 1962956540?
NPI 1962956540 belongs to LISA COELHO (PA-C); compare other details if you need extra assurance.
Is there an active status for LISA COELHO (PA-C)?
For scheduling context, LISA COELHO (PA-C) is shown as active in the registry.
How would a patient describe LISA COELHO (PA-C)'s focus?
For LISA COELHO (PA-C), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LISA COELHO (PA-C)?
Travel planning: use San Antonio, Texas as the reference point for LISA COELHO (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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