Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa E Shakun, PA-C

Individual provider Physician Assistant · NPI 1154561884

Lisa E Shakun, PA-C is a Physician Assistant in Manchester, Connecticut. Qualified in 2008, 18 years ago. Practices with Urgent Care Medical Associates, LLC, a 113-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Connecticut, Massachusetts and New York.

Years since qualifying
18
Licensed in
CT, MA, NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

370 Middle Tpke W
Manchester, CT 06040-3824
Phone: (860) 650-3848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 31 Old Route 7, Brookfield, CT 06804-1711 — (475) 253-2599
  • 55 Hazard Ave, Enfield, CT 06082-3826 — (860) 650-3848
  • 80 Route 6 Ste 704-705, Baldwin Place, NY 10505-1026 — (475) 253-2599

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 002236 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 013444 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA7540 (MA)

Record details

NPI number1154561884
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2009
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Urgent Care Medical Associates, Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Manchester