Active NPI
Lisa Kristine Mizeur, FNP
- Family Nurse Practitioner
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202100982NP-PP
- Practice address
- 2600 NE Neff Rd
Bend, OR 97701-6337 - Phone
- (541) 706-4800
- Fax
- (541) 706-4806
- NPI assigned
- Dec 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 95013410 | CA | |
| Family Nurse Practitioner | 363LF0000X | 202100982NP-PP | OR | Primary |
Addresses
Primary practice location
2600 NE Neff Rd
Bend, OR 97701-6337
Mailing address
5100 Golden Hill Dr
Weed, CA 96094-9644
Phone (530) 356-5342
Other practice location 1
16337 Everhart Dr
Weed, CA 96094-9400
Phone (530) 938-2297
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmizeur158616@secure.stcharleshealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Charles Health System Inc
Practice addresses (Care Compare)
211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164
2600 NE Neff Rd
SCMG Imaging
Bend, OR 97701-6337
Phone (541) 706-4905
384 SE Combs Flat Rd
Prineville, OR 97754-2562
Phone (541) 706-2768
51781 Huntington Rd
La Pine, OR 97739-1118
Phone (541) 666-7920
Hospital & facility affiliations
- Partners Home Health
- St Charles Medical Center Prineville
- St Charles Medical Center - Bend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013410 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Family Medicine | Current | Accepting new patients |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
61250 SE Coombs Pl
Bend, OR 97702
Phone (541) 706-5930
2600 NE Neff Rd
Bend, OR 97701
Phone (541) 706-3700
51781 Huntington Rd
La Pine, OR 97739
Phone (541) 666-7920
384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668
384 SE Combs Flat Rd
Ste 1200
Prineville, OR 97754
Phone (541) 447-6263
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
Interoperability endpoints
- lmizeur158616@secure.stcharleshealthcare.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- Specialist
- Bend, OR
- NPI 1700697935
-
- Home Health Agency
- Madras, OR
- NPI 1225226004
-
- Rural Health Clinic/Center
- Prineville, OR
- NPI 1407178528
-
- Clinical Social Worker
- Bend, OR
- NPI 1780698696
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
- Home Health Agency
- Bend, OR
- NPI 1063581247
-
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1003455742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 GOLDEN HILL DR",
"city": "WEED",
"state": "CA",
"postal_code": "960949644",
"telephone_number": "530-356-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 NE NEFF RD",
"city": "BEND",
"state": "OR",
"postal_code": "977016337",
"telephone_number": "541-706-4800",
"fax_number": "541-706-4806"
}
],
"practiceLocations": [
{
"address_1": "16337 Everhart Dr",
"address_purpose": "LOCATION",
"city": "Weed",
"state": "CA",
"postal_code": "960949400",
"country_code": "US",
"telephone_number": "530-938-2297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIZEUR",
"first_name": "LISA",
"middle_name": "KRISTINE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-28",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "95013410",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "202100982NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmizeur158616@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "2600 NE Neff Rd",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977016337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.