Lissy Davis Poulose, APRN
NPI 1790937670ActiveIndividual· Nurse Practitioner, Adult Health· Monroe, CT
Nurse Practitioner, Adult Health (APRN) with Hartford Healthcare Medical Group Specialists PLLC and 1 other group, practicing in Monroe, Connecticut. In 2024 Medicare paid $21,520 for 57 patients, and Part D covered 173 of their prescriptions, 76% of them generic.
Overview
| NPI | 1790937670 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Oct 22, 2008 |
| Last updated in NPPES | Jan 21, 2022 |
| Certified by provider | Jan 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 003902 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 355 across 9 procedure codes |
| Paid by Medicare | $21,520 |
Part D prescriptions in 2024
| Prescriptions (claims) | 173 · 180 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $9,381 |
| Generic share | 76% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Hartford Healthcare Medical Group Specialists PLLCBridgeport, CT · 1,588 clinicians
- Hdc Care Solutions LLCMiddletown, CT · 197 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other adult health nurse practitioners in Monroe
- 1376999011
- 1689018582
- 1093063430
- 1598016644
- 1093154957