LISA KAY ROBERTSON MSN, AGNP-C
NPI 1003342734
Nurse Practitioner - Gerontology in Tucson, AZ

Q: What is Lisa Robertson's NPI number?

The NPI number for Lisa Robertson is 1003342734. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Q: What is Lisa Robertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Robertson was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment

61.81/100

CMS Quality Rating

504 W 29TH ST, TUCSON, AZ 85713(520) 838-5600 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Lisa Kay Robertson Msn, Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA KAY ROBERTSON MSN, AGNP-C (NPI 1003342734) is an individual gerontology provider in Tucson, Arizona, licensed in Arizona (AP10054) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1003342734

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameLISA KAY ROBERTSONCredential: MSN, AGNP-C

Location Address504 W 29TH STTucson, AZ 85713-3353

Mailing Address7476 N Camino De La TierraTucson, AZ 85741-2123 · (520) 429-7166

Phone(520) 838-5600

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateMay 1, 2017

Last NPPES UpdateOctober 10, 2022

NPPES CertifiedOctober 10, 2022

✔ NPI 1003342734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AZ · AP10054

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License AP10054 (AZ)

504 W 29TH ST, Tucson, AZ 85713

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Secondary Practice Location 1

Location 17476 N Camino De La TierraTucson, AZ 85741-2123 · Phone (520) 429-7166

Other Identifiers 1

Medicaid276234AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Kay Robertson Msn, Agnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880953231

PECOS Enrollment IDI20180111000156

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Frontera Center, Inc.

0.8 mi

Mental Health (Including Community Mental Health Center)

502 W 29TH ST
Tucson, AZ 85713

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Lafrontera Center Inc
33 clinicians in this Medicare group

NPI 1093810889 (520) 884-9920

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services23 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

25 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

39.38

Promoting Interoperability

Improvement Activities

Cost

100

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

31%265 patients2/55-star benchmark: 97%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier21 claims21 services$5.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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