Individual provider Active NPI

Lisa M. Kill, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1245564830
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3471 Issued in AZ
Practice address
22651 N 39TH PL
Phoenix, AZ 85050-5432
Phone
(573) 381-0305
Fax
(480) 393-1970
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 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 AP3471 AZ Primary

Addresses

Primary practice location

22651 N 39TH PL
Phoenix, AZ 85050-5432

Mailing address

22651 N 39TH PL
Phoenix, AZ 85050-5432
Phone (573) 381-0305

Other identifiers 1

IdentifierTypeStateIssuer
471747MedicaidAZ

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
I20091106000173 AZ Practitioner - Nurse Practitioner 7113065426 Practice locations: Glendale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22651 N 39TH PL
Phoenix, AZ 85050-5432

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 588-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3471AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LMK Surgical Services PLLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lkill189434@cityofhope.direct-ci.com

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1245564830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22651 N 39TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850505432",
            "telephone_number": "573-381-0305",
            "fax_number": "480-393-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22651 N 39TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850505432",
            "telephone_number": "573-381-0305",
            "fax_number": "480-393-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILL",
        "first_name": "LISA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471747",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.