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MRS. LISA NELSON
NPI 1255715108
Nurse Practitioner - Family in Phoenix, AZ

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
4530 E MUIRWOOD DR STE 111, PHOENIX, AZ 85048(480) 961-2365 Get Directions Write a Review

NPPES record last updated: April 10, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2016, Mar 14, 2016 (2 updates tracked since 2016).

About Mrs. Lisa Nelson NPPES

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

MRS. LISA NELSON (NPI 1255715108) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP7961) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1255715108
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA NELSON
Location Address4530 E MUIRWOOD DR STE 111Phoenix, AZ 85048-7693
Mailing Address4530 E Muirwood Dr, Ste 111Phoenix, AZ 85048-7693 · (480) 961-2365 · Fax (480) 961-2382
Phone(480) 961-2365
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 9, 2015
Last NPPES UpdateApril 10, 20162 updates tracked since enumeration
✔ NPI 1255715108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP7961
4530 E MUIRWOOD DR STE 111, Phoenix, AZ 85048
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare 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

Mrs. Lisa Nelson 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 ID9830497791
PECOS Enrollment IDI20260518002531
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 Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foothills Neurology P C
0.1 mi
Neurology
4530 E MUIRWOOD DR STE 111
Phoenix, AZ 85048
  • Reassigned Medicare billing, Arizona enrollment
  • 30 clinicians in this Medicare group
NPI 1104857143 (480) 961-2365

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85048 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.

Other Providers at the Same Location NPPES 12

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

MISS AMBER MCLOUTH PA-C
Physician Assistant
4530 E MUIRWOOD DR STE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365
FOOTHILLS NEUROLOGY P C
Psychiatry & Neurology (Neurology)
4530 E MUIRWOOD DR STE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365
DR. WIN TOE M.D
Psychiatry & Neurology (Neurology)
4530 E MUIRWOOD DR STE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365
MS. MCKENZIE MILLNER RDN
Dietitian, Registered (Nutrition, Metabolic)
4530 E MUIRWOOD DR STE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365
SHANA RAE SMITH FNP-BC
Nurse Practitioner (Family)
4530 E MUIRWOOD DR STE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365
ISABEL NICOLE MIKE
Physician Assistant
4530 E MUIRWOOD DR STE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365
JA'VON J DURLEY MD
Psychiatry & Neurology (Neurology)
4530 E MUIRWOOD DR STE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365
DR. PRITISH SUBHASH PAWAR M.D., PH.D.
Psychiatry & Neurology (Neurology)
4530 E MUIRWOOD DR STE 111
PHOENIX, AZ 85048
Maricopa County (480) 961-2365

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 Nelson's NPI number?

The NPI number for Lisa Nelson is 1255715108. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Lisa Nelson located?

Lisa Nelson practices at 4530 E Muirwood Dr Ste 111, Phoenix, AZ 85048. The listed phone number is (480) 961-2365.

What is Lisa Nelson's specialty?

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

Is Lisa Nelson enrolled in Medicare?

Yes. Lisa Nelson 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.

Which organization bills Medicare for Lisa Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Nelson reassigns Medicare benefits to Foothills Neurology P C (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Nelson accept?

Health plans from Cigna HealthCare of Arizona, Inc list Lisa Nelson 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 Nelson was last updated on April 10, 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.