NPIMap

Individual provider Active NPI

Lisa Ann Graham, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Prescott, AZ
National Provider Identifier
1386955623
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
51777 Issued in AZ
Practice address
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone
(928) 773-0003
Fax
(928) 773-1170
NPI assigned
Jul 1, 2010
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 51777 AZ Primary
Pulmonary Disease Physician 207RP1001X 51777 AZ

Addresses

Primary practice location

1003 Willow Creek Rd
Prescott, AZ 86301-1641

Mailing address

PO Box 967
Flagstaff, AZ 86002-0967
Phone (928) 773-0003

Other practice location 1

7700 E Florentine Rd
Prescott Valley, AZ 86314-2245
Phone (928) 773-0003

Other practice location 2

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 773-0003

Other practice location 3

1360 N Rim Dr
Flagstaff, AZ 86001-3111
Phone (928) 774-8000

Other identifiers 1

IdentifierTypeStateIssuer
133665MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160705001584 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0840432043 Reassigns benefits to 3 organizations
I20231005003378 NE Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0840432043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Critical Care Consultants of Arizona PLLCGroup PAC ID 5698776516, 7 clinicians
Northern Arizona Pulmonary Associates LLCGroup PAC ID 7012073455, 5 clinicians

Practice addresses (Care Compare)

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 773-0003

1360 N Rim Dr
Flagstaff, AZ 86001-3111
Phone (928) 774-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51777AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Pulmonary Disease CurrentSince Oct 4, 2023 Accepting new patients
Yrmc Hospice CurrentSince Oct 19, 2025 Accepting new patients
Northern Arizona Pulmonary Associates, LLC Pulmonary Disease CurrentSince Jul 15, 2016 Accepting new patients
Critical Care Consultants of Arizona PLLC Critical Care Medicine CurrentSince Jul 15, 2016 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Yavapai Community Hospital Association CurrentSince Oct 19, 2025 Accepting new patients
Gallup Limb and Brace Co Inc Past Accepting new patients
Flagstaff Intensive Care Specialists, PLLC Past Accepting new patients

Locations

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1360 N Rim Dr
Flagstaff, AZ 86001
Phone (928) 774-3919

823 N San Francisco St
Ste G1
Flagstaff, AZ 86001
Phone (928) 440-4750

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

7700 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 442-8657

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

Organizations & group practices 9

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 11

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1386955623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860020967",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 E Florentine Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142245",
            "country_code": "US",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "86001",
            "country_code": "US",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 N Rim Dr",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013111",
            "country_code": "US",
            "telephone_number": "928-774-8000",
            "fax_number": "928-774-0372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "51777",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "51777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133665",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.