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

MS. Lisa J Trickey, PAC

Individual provider Medical Physician Assistant · NPI 1225030752

MS. Lisa J Trickey, PAC is a Physician Assistant in Watertown, New York. Qualified in 1994, 32 years ago. Practices with River Hospital Inc, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1340 Washington St
Watertown, NY 13601-4541
Phone: (315) 782-9003
Fax: (315) 782-9010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 53-59 Public Square, Watertown, NY 13601-2674 — (315) 782-4950

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0050661 (NY)

Record details

NPI number1225030752
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 15, 2005
Last updated in NPPESMarch 7, 2023
Certification dateMarch 31, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice River Hospital Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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