Individual provider Active NPI

Lisa Marie Peter

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1235967381
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
313055 Issued in AZ
Practice address
1701 E Thomas Rd # a-104
Phoenix, AZ 85016-7646
Phone
(602) 845-4445
NPI assigned
Jul 22, 2024
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 313055 AZ Primary

Addresses

Primary practice location

1701 E Thomas Rd # a-104
Phoenix, AZ 85016-7646

Mailing address

11047 N 19TH Ave
Phoenix, AZ 85029-4816
Phone (602) 589-0500

Other practice location 1

203 S Candy Ln Ste 6B
Cottonwood, AZ 86326-8112
Phone (602) 589-0500

Other practice location 2

137 E Fort Lowell Rd
Tucson, AZ 85705-3920
Phone (602) 589-0500

Other practice location 3

8046 E Yavapai Rd
Prescott Valley, AZ 86314-8442
Phone (602) 589-0500

Other practice location 4

13555 W McDowell Rd Ste 201
Goodyear, AZ 85395-2630
Phone (602) 589-0500

Other practice location 5

13967 W Grand Ave
Surprise, AZ 85374-3732
Phone (602) 589-0500

Other practice location 6

11047 N 19th Ave
Phoenix, AZ 85029-4816
Phone (602) 589-0500

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
I20240907000400 AZ Practitioner - Nurse Practitioner 7911447727 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sun Pain Management PLLCGroup PAC ID 6800986340, 10 clinicians
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

11047 N 19TH Ave
Phoenix, AZ 85029-4816
Phone (602) 589-0500

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313055AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC Urgent Care CurrentSince Aug 19, 2024 Accepting new patients
Nextcare Arizona I JV LLC Urgent Care CurrentSince Aug 19, 2024 Accepting new patients
Corner Health Medical Group P a Family CurrentSince Sep 6, 2025 Accepting new patients
Sun Pain Management, PLLC CurrentSince May 15, 2025 Accepting new patients
Apex Integrated Care PLLC Past Accepting new patients
Atlantis Medical Group Az PLLC Past Accepting new patients
Peak Medical PLLC Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

203 S Candy Ln
Ste 6B
Cottonwood, AZ 86326
Phone (928) 649-1559

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

13555 W McDowell Rd
Ste 201
Goodyear, AZ 85395
Phone (602) 246-9006

11047 N 19th Ave
Phoenix, AZ 85029
Phone (602) 944-0072

11047 N 19th Ave
Ste 103
Phoenix, AZ 85029

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

5501 N 19th Ave
Ste 103
Phoenix, AZ 85015
Phone (605) 589-0500

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

8046 E Yavapai Rd
Prescott Vly, AZ 86314
Phone (602) 671-1700

2122 N Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 889-3570

13967 W Grand Ave
Ste C103
Surprise, AZ 85374
Phone (602) 671-1700

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

137 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 393-8060

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22282/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJIBDA
  • Direct secure messaging: lisa.peterfnp.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1235967381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11047 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294816",
            "telephone_number": "602-589-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E THOMAS RD # A-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167646",
            "telephone_number": "602-845-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Candy Ln Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863268112",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 E Fort Lowell Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857053920",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8046 E Yavapai Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863148442",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13555 W McDowell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952630",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13967 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853743732",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11047 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850294816",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "313055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.