Individual provider Active NPI

Alissa Pascucci

  • Family Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1144764507
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6829 Issued in CT
Practice address
575 Beech St
Holyoke, MA 01040-2223
Phone
(413) 534-2570
NPI assigned
Dec 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6829 CT Primary

Addresses

Primary practice location

575 Beech St
Holyoke, MA 01040-2223

Mailing address

66 Thrall Rd
Broad Brook, CT 06016-9773
Phone (413) 636-4918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180420000152 CT Practitioner - Nurse Practitioner 9931462249 Reassigns benefits to 3 organizations
I20180619002134 MA Practitioner - Nurse Practitioner 9931462249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Mass Physician Associates IncGroup PAC ID 5799767109, 72 clinicians

Practice addresses (Care Compare)

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2697

Hospital & facility affiliations

  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6829CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Medical Services of Northern Connecticut, P.C. CurrentSince Oct 1, 2022 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Mar 4, 2018 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Mar 4, 2018 Accepting new patients
Nes Medical Services of Northern Connecticut, P.C. Current Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince May 4, 2020 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Lakes/National Emergency Physicians Inc CurrentSince May 8, 2018 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

2800 Tamarack Ave
Ste 100
South Windsor, CT 06074
Phone (860) 533-4692

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1144764507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 THRALL RD",
            "city": "BROAD BROOK",
            "state": "CT",
            "postal_code": "060169773",
            "telephone_number": "413-636-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUCCI",
        "first_name": "ALISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.