Individual provider Active NPI

Sarah Emily Delisle, PA

  • Physician Assistant
  • East Longmeadow, MA
National Provider Identifier
1386873594
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20XX Issued in MA
Practice address
98 Shaker Road
Hampden County Physician Associates, LLC
East Longmeadow, MA 01028-2731
Phone
(413) 526-9515
Fax
(413) 526-9519
NPI assigned
Jul 9, 2009
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20XX MA Primary

Addresses

Primary practice location

98 Shaker Road
Hampden County Physician Associates, LLC
East Longmeadow, MA 01028-2731

Mailing address

354 Birnie Ave
Hampden County Physician Associates, LLC
Springfield, MA 01107-1108
Phone (413) 733-3470

Other identifiers 1

IdentifierTypeStateIssuer
PA20XXOtherMAMA BORM LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091009000541 MA Practitioner - Physician Assistant 8729124409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

280 Chestnut St
Suite 2
Springfield, MA 01199-1001

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20XXMAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hampden County Physician Associates, LLC. Past Accepting new patients
Hampden County Physician Associates, LLC Past Accepting new patients

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1386873594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 BIRNIE AVE",
            "address_2": "HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071108",
            "telephone_number": "413-733-3470",
            "fax_number": "413-733-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SHAKER ROAD",
            "address_2": "HAMPDEN COUNTY PHYSICIAN ASSOCIATES, LLC",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282731",
            "telephone_number": "413-526-9515",
            "fax_number": "413-526-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "SARAH",
        "middle_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA20XX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BORM LICENSE",
            "identifier": "PA20XX",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.