Alissa Mercedes Pacheco, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01720 Issued in RI

Practice address

1272 W Main Rd
Middletown, RI 02842-6405

Phone

(401) 847-2290

Fax

(401) 849-8446

NPI assigned

Jun 18, 2024

Last updated

May 7, 2025By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• 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

Interoperability endpoints

• Direct secure messaging: alissa.pacheco.1@10.direct.athenahealth.com

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.

• Aquidneck Pediatrics LLC

  • Pediatrics Physician
  • Middletown, RI
  • NPI 1245681626
  NPD (past)

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1912740796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TENTH ST APT 3",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144814",
            "telephone_number": "774-225-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426405",
            "telephone_number": "401-847-2290",
            "fax_number": "401-849-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Corliss St Ste B",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042602",
            "country_code": "US",
            "telephone_number": "401-793-8400",
            "fax_number": "401-793-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "ALISSA",
        "middle_name": "MERCEDES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alissa.pacheco.1@10.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "180 Corliss St Ste B",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029042602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Francis Orszulak
• Orthopedics Rhode Island, Inc.
• Bayo Ivyl Owens, DNP PMHNP-BC
• P.C.S.-Bridgeview, Inc. (Patient Care Services)
• P.Hakan Durudogan DDS
• Miranda Pacheco, RN
• Pappas Physical Therapy LLC
• Susan M Paquette, RN-CNS
• Victoria Jeanne Paradis, COTA
• Jayanthi Parameswaran, MD

• Physician Assistant in Middletown, RI
• Providers in Middletown, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.