Individual provider Active NPI

Lyndsay Leigh Rebecca Funk-Purcell, NP

  • Family Nurse Practitioner
  • Show Low, AZ
National Provider Identifier
1124784657
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
263315 Issued in AZ
Practice address
5300 S Sutter Dr BLDG a
Show Low, AZ 85901-8054
Phone
(928) 362-5258
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 263315 AZ Primary

Addresses

Primary practice location

5300 S Sutter Dr BLDG a
Show Low, AZ 85901-8054

Mailing address

549 Westwood Way Dr
Haslet, TX 76052-3078
Phone (928) 278-8098

Other practice location 1

100 Crescent Ct
Dallas, TX 75201-6900
Phone (928) 278-8098

Other names 1

  • Lyndsay Leigh-Rebecca Funk Former name

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
I20211223001283 AZ Practitioner - Nurse Practitioner 1951792175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Mountain Healthcare LLC 10 clinicians

Practice addresses (Care Compare)

5300 S Sutter Dr
Unit a
Show Low, AZ 85901-8374
Phone (928) 251-4244

Hospital & facility affiliations

  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062

Merit-based Incentive Payment System (MIPS)

Final score
89.26 of 100Reported as group
Quality
91.17
Improvement activities
40
Cost
75.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263315AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Mountain Healthcare LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

5300 S Sutter Dr
Unit A
Show Low, AZ 85901
Phone (928) 251-4244

Interoperability endpoints

  • Direct secure messaging: lyndsay.funk.1@24099.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24099/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 3

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1124784657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 WESTWOOD WAY DR",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523078",
            "telephone_number": "928-278-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SUTTER DR BLDG A",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859018054",
            "telephone_number": "928-362-5258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Crescent Ct",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752016900",
            "country_code": "US",
            "telephone_number": "928-278-8098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNK-PURCELL",
        "first_name": "LYNDSAY",
        "middle_name": "LEIGH REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "263315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDSAY",
            "last_name": "FUNK",
            "middle_name": "LEIGH-REBECCA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.