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LISA EGLESTON FNP-C
NPI 1528953130
Nurse Practitioner - Family in Surprise, AZ

Active since June 12, 2025PECOS EnrolledAccepts Medicare Assignment
16972 W STEVENAGE ST, SURPRISE, AZ 85374(623) 317-3780 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lisa Egleston Fnp-c NPPES

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

LISA EGLESTON FNP-C (NPI 1528953130) is an individual family provider in Surprise, Arizona, licensed in Arizona (RN178589) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528953130
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA EGLESTONCredential: FNP-C
Location Address16972 W STEVENAGE STSurprise, AZ 85374-0820
Mailing Address16972 W Stevenage StSurprise, AZ 85374-0820 · (623) 317-3780
Phone(623) 317-3780
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 12, 2025
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1528953130 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 · RN178589
16972 W STEVENAGE ST, Surprise, AZ 85374
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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 Egleston Fnp-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 ID5890188411
PECOS Enrollment IDI20260421000573
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 Egleston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alante Primary Care And Palliative Services LLC
30 mi
Primary Care
8502 E PRINCESS DR STE 200E
Scottsdale, AZ 85255
  • Reassigned Medicare billing, Arizona enrollment
  • 13 clinicians in this Medicare group
NPI 1700468527 (623) 209-8844

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 85374 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.

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 Egleston's NPI number?

The NPI number for Lisa Egleston is 1528953130. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Lisa Egleston located?

Lisa Egleston practices at 16972 W Stevenage St, Surprise, AZ 85374. The listed phone number is (623) 317-3780.

What is Lisa Egleston's specialty?

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

Is Lisa Egleston enrolled in Medicare?

Yes. Lisa Egleston 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 Egleston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Egleston reassigns Medicare benefits to Alante Primary Care And Palliative Services LLC (Scottsdale, 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 Egleston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Egleston was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.