Lisa Marie Piastrelli, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0001004 Issued in MD

Practice address

1838 Greene Tree Rd Ste 135
Pikesville, MD 21208-7108

Phone

(443) 471-0472

Fax

(410) 584-1882

NPI assigned

May 1, 2006

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.piastrelli.p2@direct.clinicalassociates.nextgenshare.com

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.

• Clinical Associates P a

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1871973628
  Medicare reassignment
• Clinical Associates PA

  • Foot & Ankle Surgery Podiatrist
  • Pikesville, MD
  • NPI 1568264281
  NPD
• Clinical Associates P a

  • Ambulatory Surgical Clinic/Center
  • Towson, MD
  • NPI 1982074001
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1679531776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868518",
            "telephone_number": "443-471-0472",
            "fax_number": "410-584-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 135",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087108",
            "telephone_number": "443-471-0472",
            "fax_number": "410-584-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIASTRELLI",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0001004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444181800",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.piastrelli.p2@direct.clinicalassociates.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1838 Greene Tree Rd Ste 135",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212087108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Petroff
• Rachel Huynh Pham
• Lawrence Davonte Phelps
• Raizel Pheterson, OTR/L
• Sir Phillips
• Pikesville Assisted Living, LLC
• Pikesville Health Services LLC
• Pikesville Medical Care
• Pikesville Operator, LLC
• Pikesville Operator, LLC

• Medical Physician Assistant in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.

Verify at the official NPI Registry.