MRS. LISA MARIE LAND NP-C, ACNPC-AG
NPI 1083078349
Nurse Practitioner - Family in Kingman, AZ

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
83.2/100
CMS Quality Rating
1739 E BEVERLY AVE, SUITE 203, KINGMAN, AZ 86409(928) 757-3133 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2023, Dec 8, 2022, Nov 30, 2022 (3 updates tracked since 2022).

About Mrs. Lisa Marie Land Np-c, Acnpc-ag NPPES

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

MRS. LISA MARIE LAND NP-C, ACNPC-AG (NPI 1083078349) is an individual family provider in Kingman, Arizona, licensed in Arizona (AP8621) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scottsdale, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083078349
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA MARIE LANDCredential: NP-C, ACNPC-AG
Location Address1739 E BEVERLY AVE, SUITE 203Kingman, AZ 86409-3593
Mailing Address1739 E Beverly Ave, Suite 203Kingman, AZ 86409-3593 · (928) 757-3133
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 12, 2016
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
NPI 1083078349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP8621
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP8621 (AZ)
1739 E BEVERLY AVE, Kingman, AZ 86409

Other Names 1

Other Name (5)Ms. Lisa Marie Simes

Secondary Practice Location 1

Location 113400 E Shea BlvdScottsdale, AZ 85259-5452 · Phone (480) 301-8000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa Marie Land Np-c, Acnpc-ag 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 ID9638468499
PECOS Enrollment IDI20160517002577
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.

Areas of Expertise CMS Part B claims 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
172 services137 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.
106 services90 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
63 services63 patients
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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86409 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.

83.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.73
Promoting Interoperability82
Improvement Activities40
Cost71.28

Referred Medical Equipment & Supplies CMS DME claims 10

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers30 claims30 services$83.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers33 claims61 services$33.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers25 claims25 services$18.09 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers36 claims36 services$13.53 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers43 claims223 services$2.18 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
3 suppliers11 claims11 services$9.28 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 19

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

Internal Medicine (Infectious Disease)
1739 E BEVERLY AVE, SUITE 221
KINGMAN, AZ 86409
Family Medicine
1739 E BEVERLY AVE, SUITE 201
KINGMAN, AZ 86409
Pediatrics
1739 E BEVERLY AVE, SUITE 220
KINGMAN, AZ 86409
Pharmacist
1739 E BEVERLY AVE, STE 107
KINGMAN, AZ 86409
Nurse Practitioner (Family)
1739 E BEVERLY AVE
KINGMAN, AZ 86409
Internal Medicine (Critical Care Medicine)
1739 E BEVERLY AVE, SUITE 203
KINGMAN, AZ 86409
Clinic/Center (Medical Specialty)
1739 E BEVERLY AVE, SUITE 118
KINGMAN, AZ 86409
Family Medicine
1739 E BEVERLY AVE, SUITE 201
KINGMAN, AZ 86409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Land's NPI number?

The NPI number for Lisa Land is 1083078349. It was assigned to this individual provider in the NPPES registry on April 12, 2016. The provider is also known as Ms. Lisa Marie Simes.

Where is Lisa Land located?

Lisa Land practices at 1739 E Beverly Ave Suite 203, Kingman, AZ 86409. The listed phone number is (928) 757-3133.

What is Lisa Land's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Land enrolled in Medicare?

Yes. Lisa Land is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Land accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Lisa Land as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Land was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.