MS. LISA ANN ROSE WADSWORTH MMS. PA-C
NPI 1114192317
Physician Assistant in Scottsdale, AZ

Q: What is Lisa Wadsworth's NPI number?

The NPI number for Lisa Wadsworth is 1114192317. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Q: What is Lisa Wadsworth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: Is Lisa Wadsworth enrolled in Medicare?

No. Lisa Wadsworth has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wadsworth was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 28, 2008Opted out of Medicare · through Apr 1, 2028

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Lisa Ann Rose Wadsworth Mms. Pa-c NPPES

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

MS. LISA ANN ROSE WADSWORTH MMS. PA-C (NPI 1114192317) is an individual physician assistant in Scottsdale, Arizona, licensed in Arizona (2929) and active in the NPI registry since April 2008. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114192317

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. LISA ANN ROSE WADSWORTHCredential: MMS. PA-C

Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5452

Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5452 · (480) 301-8000

Phone(480) 301-8000

Sole ProprietorNo

Enumeration DateApril 28, 2008

Last NPPES UpdateAugust 8, 2016

✔ NPI 1114192317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 2929

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

13400 E SHEA BLVD, Scottsdale, AZ 85259

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Other Identifiers 2

Medicaid370217AZ

Medicare PINZ124860AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Lisa Ann Rose Wadsworth Mms. Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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

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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