Active NPI
Lisanne Marie Pessini, P.N.P.
- Pediatric Nurse Practitioner
- Flushing, NY
National Provider Identifier
1598114357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 38382732
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38382732 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan's Boys' Home | Pediatrics | Current | 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.
-
dba Boys Town Professional Services
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
- Otolaryngology Physician
- Omaha, NE
- NPI 1194822130
-
- Pediatrics Physician
- Omaha, NE
- NPI 1144556333
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.