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MARY MACON LISSNER FNP-C
NPI 1811375132
Nurse Practitioner - Family in Phoenix, AZ

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
75.56/100
CMS Quality Rating
5259 W INDIAN SCHOOL RD STE 100, PHOENIX, AZ 85031(623) 888-5101 Get Directions Write a Review

NPPES record last updated: September 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2024, Jun 9, 2022 (2 updates tracked since 2022).

About Mary Macon Lissner Fnp-c NPPES

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

MARY MACON LISSNER FNP-C (NPI 1811375132) is an individual family provider in Phoenix, Arizona, licensed in Arizona (272005) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Snellville, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811375132
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MACON LISSNERCredential: FNP-C
Location Address5259 W INDIAN SCHOOL RD STE 100Phoenix, AZ 85031-2651
Mailing Address13122 N 103rd StScottsdale, AZ 85260-7200 · (404) 550-2945 · Fax (706) 310-0390
Phone(623) 888-5101
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 7, 2015
Last NPPES UpdateSeptember 15, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2024
✔ NPI 1811375132 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
Licenses✔ Licensed in AZ · 272005✔ Licensed in GA · RN234158✔ Licensed in MD · R222059
5259 W INDIAN SCHOOL RD STE 100, Phoenix, AZ 85031
Open in Google Maps ↗

Secondary Practice Location 1

Location 12118 Scenic Hwy N Ste HSnellville, GA 30078-6197 · Phone (770) 207-9201 · Fax (770) 558-6776

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Oscar Health Plan, Inc..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

Mary Macon Lissner 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 ID3577878602
PECOS Enrollment IDI20231206004083
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 9

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 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.
84 services81 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
56 services26 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.
42 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
31 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85031 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.

75.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.96
Promoting Interoperability100
Improvement Activities40
Cost44.58

Other Providers at the Same Location NPPES 2

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

HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC
Clinic/Center (Urgent Care)
5259 W INDIAN SCHOOL RD STE 100
PHOENIX, AZ 85031
Maricopa County (623) 888-5101
MRS. JENNIFER COPELAND FNP-C
Nurse Practitioner (Family)
5259 W INDIAN SCHOOL RD STE 100
PHOENIX, AZ 85031
Maricopa County (623) 580-5800

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 Mary Macon Lissner's NPI number?

The NPI number for Mary Macon Lissner is 1811375132. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Mary Macon Lissner located?

Mary Macon Lissner practices at 5259 W Indian School Rd Ste 100, Phoenix, AZ 85031. The listed phone number is (623) 888-5101.

What is Mary Macon Lissner's specialty?

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

Is Mary Macon Lissner enrolled in Medicare?

Yes. Mary Macon Lissner 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 Mary Macon Lissner accept?

Health plans from Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Mary Macon Lissner 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 Mary Macon Lissner was last updated on September 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.