LISA K. HARRISON RN, CCRN, AGACNP-BC
NPI 1790105567
Nurse Practitioner in Scottsdale, AZ

Q: What is Lisa Harrison's NPI number?

The NPI number for Lisa Harrison is 1790105567. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Q: What is Lisa Harrison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Harrison was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 21, 2014PECOS EnrolledAccepts Medicare Assignment

15333 N PIMA RD STE 305, SCOTTSDALE, AZ 85260(866) 949-0108 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2021, Dec 12, 2019, Feb 15, 2018 (3 updates tracked since 2018).

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About Lisa K. Harrison Rn, Ccrn, Agacnp-bc NPPES

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

LISA K. HARRISON RN, CCRN, AGACNP-BC (NPI 1790105567) is an individual nurse practitioner in Scottsdale, Arizona, licensed in Arizona (234142) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790105567

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA K. HARRISONCredential: RN, CCRN, AGACNP-BC

Location Address15333 N PIMA RD STE 305Scottsdale, AZ 85260-2717

Mailing Address40 S Main St Ste 1300Memphis, TN 38103-5513 · (866) 949-0108

Phone(866) 949-0108

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 21, 2014

Last NPPES UpdateAugust 19, 20213 updates tracked since enumeration

NPPES CertifiedAugust 19, 2021

✔ NPI 1790105567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in AZ · 234142✔ Licensed in VA · 0024171479

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

15333 N PIMA RD STE 305, Scottsdale, AZ 85260

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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 K. Harrison Rn, Ccrn, Agacnp-bc 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 ID7810111390

PECOS Enrollment IDI20260416002587

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 Reassignments

Medicare enrollment records show Lisa Harrison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northbay Healthcare Group

651 mi

Multi-Specialty

1020 NUT TREE RD # 390
Vacaville, CA 95687

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Northbay Physicians Surgery Center, LLC
516 clinicians in this Medicare group

NPI 1760534713 (707) 624-8000

Northbay Health Medical Foundation

656 mi

Internal Medicine

4500 BUSINESS CENTER DR
Fairfield, CA 94534

Reassigned Medicare billing, California enrollment
225 clinicians in this Medicare group

NPI 1760283527 (707) 646-3110

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 85260 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 20

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

RICKY KELLER

In Home Supportive Care