Individual provider Active NPI

Lisanne Marie Pessini, P.N.P.

  • Pediatric Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1598114357
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
38382732 Issued in NY
Practice address
56-45 Main Street
Flushing, NY 11355
Phone
(718) 670-1947
NPI assigned
Jun 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 38382732 NY Primary

Addresses

Primary practice location

56-45 Main Street
Flushing, NY 11355

Mailing address

521 W 156TH St
2B
New York, NY 10032-7743
Phone (347) 239-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20230420001838 NE Practitioner - Nurse Practitioner 6305121047 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38382732NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan's Boys' Home Pediatrics CurrentSince Apr 3, 2023 Accepting new patients
ENT Services PC Past Accepting new patients
Nebraska Pediatric Practice, Inc Past Accepting new patients

Locations

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1598114357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W 156TH ST",
            "address_2": "2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100327743",
            "telephone_number": "347-239-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-45 MAIN STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-670-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSINI",
        "first_name": "LISANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-11",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "38382732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.