Individual provider Active NPI

Lisa A Shea, PAC

  • Physician Assistant
  • North Franklin, CT
National Provider Identifier
1619975919
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000627 Issued in CT
Practice address
82 New Park Ave
North Franklin, CT 06254-1807
Phone
(860) 889-7345
NPI assigned
Jul 11, 2005
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 000627 CT Primary

Addresses

Primary practice location

82 New Park Ave
North Franklin, CT 06254-1807

Mailing address

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Other practice location 1

11 Industrial Park Rd
Niantic, CT 06357-1210
Phone (860) 889-7345

Other practice location 2

195 Eastern Blvd Ste 201
Glastonbury, CT 06033-4353
Phone (860) 246-4260 ext. 1109

Other names 1

  • Ms. Lisa A Zapert Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20080916000421 CT Practitioner - Physician Assistant 6608943774 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norwich Orthopedic Group PCGroup PAC ID 6709820798, 48 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

82 New Park Ave
North Franklin, CT 06254-1807
Phone (860) 889-7345

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as group
Quality
83.12
Improvement activities
40
Cost
84.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
000627CTMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Hartford,PC CurrentSince Jun 1, 2020 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Jun 1, 2020 Accepting new patients
Norwich Orthopedic Group, P.C. CurrentSince Apr 1, 2010 Accepting new patients
The William W Backus Hospital CurrentSince Jul 7, 2022 Accepting new patients
William W Backus Hospital CurrentSince Jul 7, 2022 Accepting new patients

Locations

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8276

11 Industrial Park Rd
Niantic, CT 06357
Phone (860) 391-9397

82 New Park Ave
North Franklin, CT 06254
Phone (860) 889-7345

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

140 Cross Rd
Waterford, CT 06385
Phone (860) 701-0140

Interoperability endpoints

  • Direct secure messaging: lisa.shea@xdr.hhchealthdirect.org
  • Direct secure messaging: lshea98688@xdr.hhchealthdirect.org

Organizations & group practices 8

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1619975919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345",
            "fax_number": "860-885-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Niantic",
            "state": "CT",
            "postal_code": "063571210",
            "country_code": "US",
            "telephone_number": "860-889-7345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Eastern Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334353",
            "country_code": "US",
            "telephone_number": "860-246-4260 x1109",
            "fax_number": "860-430-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ZAPERT",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "PAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Franklin, CT

Sources for this page

Verify at the official NPI Registry.