Individual provider Active NPI

Lisa Beth Engelberg, FNP, RN

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1124673116
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229494 Issued in AZ
Practice address
1845 W Orange Grove Rd BLDG 2
Tucson, AZ 85704-1144
Phone
(520) 531-8967
Fax
(520) 742-7180
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 229494 AZ Primary

Addresses

Primary practice location

1845 W Orange Grove Rd BLDG 2
Tucson, AZ 85704-1144

Mailing address

PO Box 910221
Dallas, TX 75391-0221
Phone (520) 519-7700

Other practice location 1

2070 W Rudasill Rd Ste 130
Tucson, AZ 85704-7891
Phone (520) 547-5455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191029000457 AZ Practitioner - Nurse Practitioner 4284966094 Reassigns benefits to 3 organizations

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
TmconeGroup PAC ID 9234604877, 60 clinicians
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

603 N Wilmot Rd
Suite 151
Tucson, AZ 85711-2701
Phone (520) 420-2560

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
229494AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Medical Network CurrentSince Mar 6, 2025 Accepting new patients
Arizona Oncology Associates PC CurrentSince Sep 26, 2019 Accepting new patients

Locations

1845 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 230-4900

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2070 W Rudasill Rd
Ste 130
Tucson, AZ 85704
Phone (520) 420-2520

1845 W Orange Grove Rd
Bldg 2
Tucson, AZ 85704
Phone (520) 531-8967

603 N Wilmot Rd
#151
Tucson, AZ 85711
Phone (520) 324-2535

603 N Wilmot Rd
Ste 151
Tucson, AZ 85711
Phone (520) 420-2560

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

1760 E River Rd
Ste 350
Tucson, AZ 85718
Phone (520) 519-7720

Interoperability endpoints

  • Direct secure messaging: lisa.engelberg@aoa.ikm.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1124673116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910221",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W ORANGE GROVE RD BLDG 2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041144",
            "telephone_number": "520-531-8967",
            "fax_number": "520-742-7180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 W Rudasill Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857047891",
            "country_code": "US",
            "telephone_number": "520-547-5455",
            "fax_number": "520-797-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELBERG",
        "first_name": "LISA",
        "middle_name": "BETH",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "229494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.