Individual provider Active NPI

Dawn M Ferrisi, P.A.

  • Physician Assistant
  • Attleboro, MA
National Provider Identifier
1679850614
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8700 Issued in MA
Practice address
211 Park St
Attleboro, MA 02703-3143
Phone
(508) 222-5200
Fax
(508) 236-7335
NPI assigned
Nov 4, 2011
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2043 OK
Physician Assistant 363A00000X PA8700 MA Primary

Addresses

Primary practice location

211 Park St
Attleboro, MA 02703-3143

Mailing address

902 E Lincoln Rd
Idabel, OK 74745-7337
Phone (580) 286-2600

Other practice location 1

735 Newport Ave
Attleboro, MA 02703-5932
Phone (508) 292-4633

Other names 1

  • Dawn M Lucier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111123000253 TX Practitioner - Physician Assistant 5799959086 Reassigns benefits to 1 organization
I20220721000148 MA Practitioner - Physician Assistant 5799959086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Health IncGroup PAC ID 9537152806, 191 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143
Phone (508) 236-7901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.71 of 100Reported as group
Quality
65.25
Promoting interoperability
100
Improvement activities
40
Cost
71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA8700MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health Inc CurrentSince Jul 7, 2022 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Nov 7, 2011 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Nov 7, 2011 Accepting new patients
Sturdy Health, Inc. CurrentSince Jul 7, 2022 Accepting new patients

Locations

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

Organizations & group practices 5

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 1

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": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1679850614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457337",
            "telephone_number": "580-286-2600",
            "fax_number": "580-286-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PARK ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033143",
            "telephone_number": "508-222-5200",
            "fax_number": "508-236-7335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Newport Ave",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027035932",
            "country_code": "US",
            "telephone_number": "508-292-4633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRISI",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2043",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "LUCIER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.