Lisa Sheehan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

020175 Issued in NY

Practice address

30 West Avon Road
Suite E
Avon, CT 06001-4275

Phone

(860) 674-9900

Fax

(860) 678-0036

NPI assigned

Sep 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Hoogsteden Former name

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farmington Valley Dermatology and Surgery LLCGroup PAC ID 8123240132, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Farmington Valley Dermatology and Surgery, LLC

  • Dermatology Physician
  • Avon, CT
  • NPI 1164835153
  Medicare reassignment Care Compare group
• BB Medical and Dermatology Inc

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1790210516
  NPD (past)
• Schweiger Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1831438662
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1649729096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WEST AVON ROAD",
            "address_2": "SUITE E",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014275",
            "telephone_number": "860-674-9900",
            "fax_number": "860-678-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WEST AVON ROAD",
            "address_2": "SUITE E",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014275",
            "telephone_number": "860-674-9900",
            "fax_number": "860-678-0036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 Main Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068511080",
            "country_code": "US",
            "telephone_number": "203-810-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HOOGSTEDEN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pari Shah, OD
• Jill D Shalan, PH.D. CLINICAL PSYCH
• Eileen Sharp, APRN
• Marilyn Sharpe, OTR
• Michael D. Shea, APRN-BC
• Duojia Shen, APRN
• Selinda A Shepherd, DPT
• Michael James Shiembob, OD
• Salli Unhong Shon, LCSW, BCBA, LBA
• Jeffrey Allen Sic, MA, LPCA

• Physician Assistant in Avon, CT
• Providers in Avon, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.