Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Lisa M Macknair, PA-C

Individual provider Medical Physician Assistant · NPI 1033469648

MS. Lisa M Macknair, PA-C is a Physician Assistant in Worcester, Massachusetts. Qualified in 2012, 14 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2012
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

630 Plantation St Fl ST12
Worcester, MA 01605-2038
Phone: (774) 261-1356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68a Main St Ste 102, Medway, MA 02053-1775 — (508) 321-2850

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA4505 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA4505 (MA)

Record details

NPI number1033469648
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2012
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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