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

Lisa Petricca, PA-C

Individual provider Physician Assistant · NPI 1003439936

Lisa Petricca, PA-C is a Physician Assistant in Farmington, Connecticut. Qualified in 2020, 6 years ago. Practices with University of Connecticut Health Center, a 628-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
Specialties on file
2
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

263 Farmington Ave
Farmington, CT 06030-8040
Phone: (860) 679-2100
Fax: (860) 679-4815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 28 Berkshire Dr, Farmington, CT 06032-2506 — (860) 830-1556

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 004952 (CT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1003439936
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Of Connecticut Health Center — 628 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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