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

Lynne A Bisbano, PA-C

Individual provider Physician Assistant · NPI 1245234517

Lynne A Bisbano, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 1985, 41 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
41
Licensed in
MA, RI
In the registry since
2005
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

345 Blackstone Blvd
Providence, RI 02906-4800
Phone: (401) 455-6200
Fax: (401) 455-6689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00080 (RI)
Physician Assistant Taxonomy 363A00000X · Licence PA245 (MA)

Record details

NPI number1245234517
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2005
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Providence