Individual provider Active NPI

Lisa C Russo, APRN

  • Family Nurse Practitioner
  • West Haven, CT
National Provider Identifier
1891217022
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7045 Issued in CT
Practice address
1 Cellini PL Ste 102
West Haven, CT 06516-1666
Phone
(203) 932-6481
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7045 CT Primary

Addresses

Primary practice location

1 Cellini PL Ste 102
West Haven, CT 06516-1666

Mailing address

38 Richill Rd
Branford, CT 06405-2604
Phone (203) 871-9975

Other practice location 1

1 Long Wharf Dr
New Haven, CT 06511-5991
Phone (203) 688-8800

Other names 1

  • Lisa C Magistro Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.magistro@xdr.hhchealthdirect.org Health Information Exchange (HIE)

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
I20171031001697 CT Practitioner - Nurse Practitioner 1153697453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians

Practice addresses (Care Compare)

1 Cellini PL
Suite 102
West Haven, CT 06516-1666
Phone (203) 932-6481

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Rocky Hill, CT, CCN 077239
  • Masters in Home Care, LLC Home health agency, Rocky Hill, CT, CCN 077264

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7045CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC CurrentSince Jan 1, 2021 Accepting new patients
HHC Physician Services, PLLC Family CurrentSince Jan 1, 2021 Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

240 Indian River Rd
Ste A5
Orange, CT 06477
Phone (203) 799-1252

687 Campbell Ave
West Haven, CT 06516
Phone (203) 786-5068

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1891217022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 RICHILL RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052604",
            "telephone_number": "203-871-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CELLINI PL STE 102",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161666",
            "telephone_number": "203-932-6481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Long Wharf Dr",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065115991",
            "country_code": "US",
            "telephone_number": "203-688-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.magistro@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1 Cellini Pl Ste 102",
            "city": "West Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065161666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MAGISTRO",
            "middle_name": "C",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.