LISA MARIE HAIRSTON APRN, CRNP, FNP-BC
NPI 1912439381
Nurse Practitioner - Family in Phoenix, AZ
About Lisa Marie Hairston Aprn, Crnp, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE HAIRSTON APRN, CRNP, FNP-BC (NPI 1912439381) is an individual family provider in Phoenix, Arizona, licensed in Arizona (F1216319) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Coulee Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Lisa Marie Hairston Aprn, Crnp, Fnp-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.
Medicare Billing Reassignments
4Medicare enrollment records show Lisa Hairston reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scottsdale, AZ 85258
- Reassigned Medicare billing, West Virginia enrollment
- 68 clinicians in this Medicare group
Grand Coulee, WA 99133
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1184844185 (Washington)
- 57 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, West Virginia enrollment
- 80 clinicians in this Medicare group
Masury, OH 44438
- Reassigned Medicare billing, West Virginia enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Coulee Medical Center
Critical Access Hospitals · Grand Coulee, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85023
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 Hairston's NPI number?
The NPI number for Lisa Hairston is 1912439381. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Lisa Hairston located?
Lisa Hairston practices at 18444 N 25th Ave # 18, Phoenix, AZ 85023. The listed phone number is (562) 684-7575.
What is Lisa Hairston's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Hairston enrolled in Medicare?
Yes. Lisa Hairston 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 organizations bill Medicare for Lisa Hairston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Hairston reassigns Medicare benefits to 4 organizations: Matrix Medical Network Of West (Scottsdale, AZ), Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 (Grand Coulee, WA), Matrix Medical Plus (Nashville, TN) and PA Post Acute Services PC (Masury, OH). Each 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 Hairston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Hairston accept?
Health plans from Providence Health Plan list Lisa Hairston 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.
Is Lisa Hairston affiliated with any hospitals?
According to CMS data, Lisa Hairston is affiliated with Coulee Medical Center.
When was this NPI record last updated?
The NPPES record for Lisa Hairston was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Lisa Marie Hairston, APRN, CRNP, FNP-BC · NPI 1912439381
Family physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1912439381 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F1216319 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 18444 N 25TH AVE # 18, Phoenix, AZ 85023-1261
- **Phone:** (562) 684-7575
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Matrix Medical Network Of West (NPI 1942569033, Scottsdale, AZ); Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 (NPI 1265422935, Grand Coulee, WA); Matrix Medical Plus (NPI 1376973461, Nashville, TN); PA Post Acute Services PC (NPI 1255057063, Masury, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912439381) · Data from the CMS NPPES public registry.