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LISA MARIE MENDIVIL CNP
NPI 1992541502
Nurse Practitioner - Adult Health in Tucson, AZ

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment
5390 E ERICKSON DR, TUCSON, AZ 85712(520) 314-1545(520) 300-7326 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, Jul 2, 2024 (2 updates tracked since 2024).

About Lisa Marie Mendivil Cnp NPPES

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

LISA MARIE MENDIVIL CNP (NPI 1992541502) is an individual adult health provider in Tucson, Arizona, licensed in Arizona (300002) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992541502
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLISA MARIE MENDIVILCredential: CNP
Location Address5390 E ERICKSON DRTucson, AZ 85712-2822
Mailing Address5390 E Erickson DrTucson, AZ 85712-2822 · (520) 314-1545
Phone(520) 314-1545
Fax(520) 300-7326
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 2, 2024
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1992541502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AZ · 300002
5390 E ERICKSON DR, Tucson, AZ 85712
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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 Marie Mendivil Cnp 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 ID1658806229
PECOS Enrollment IDI20241120001649
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 Marie Mendivil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vanguard Mobile Physicians PLLC
94 mi
Community Health
105 N PASADENA ST STE 3
Gilbert, AZ 85233
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1508309626 (480) 246-3500

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 85712 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 2

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

IDA HEATH NP
Nurse Practitioner
5390 E ERICKSON DR
TUCSON, AZ 85712
Pima County (520) 733-2250
DR. JARED GILMAN M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
5390 E ERICKSON DR
TUCSON, AZ 85712
Pima County (520) 733-2250

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 Marie Mendivil's NPI number?

The NPI number for Lisa Marie Mendivil is 1992541502. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Lisa Marie Mendivil located?

Lisa Marie Mendivil practices at 5390 E Erickson Dr, Tucson, AZ 85712. The listed phone number is (520) 314-1545.

What is Lisa Marie Mendivil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Marie Mendivil enrolled in Medicare?

Yes. Lisa Marie Mendivil 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 Marie Mendivil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Marie Mendivil reassigns Medicare benefits to Vanguard Mobile Physicians PLLC (Gilbert, 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 Marie Mendivil'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 Marie Mendivil was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.