Individual provider Active NPI

Lisa Shaffer, APRN-RNP, A-GNP-C

  • Primary Care Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1487364949
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
284281 Issued in AZ
Practice address
10815 W McDowell Rd Ste 305
Avondale, AZ 85392-5016
Phone
(623) 433-0155
Fax
(623) 433-0185
NPI assigned
Nov 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 284281 AZ Primary

Addresses

Primary practice location

10815 W McDowell Rd Ste 305
Avondale, AZ 85392-5016

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848

Other practice location 1

13555 W McDowell Rd Ste 103
Goodyear, AZ 85395-2625
Phone (623) 932-1157

Other practice location 2

14670 N Del Webb Blvd
Sun City, AZ 85351-2137
Phone (602) 633-3824

Other practice location 3

7330 N 99th Ave Ste 325
Glendale, AZ 85307-3022
Phone (480) 398-7620

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
I20230227000279 AZ Practitioner - Nurse Practitioner 1557734365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthyu Family Medicine LLCGroup PAC ID 6204224918, 43 clinicians

Practice addresses (Care Compare)

13026 W Rancho Santa Fe Blvd
Suite C100
Avondale, AZ 85392-1710
Phone (602) 491-0703

3200 N Dobson Rd
Suite B 1
Chandler, AZ 85224-9608
Phone (602) 491-0703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
284281AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince Mar 1, 2023 Accepting new patients
Healthyu Family Medicine, LLC CurrentSince Sep 23, 2025 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Mar 1, 2023 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

13026 W Rancho Santa Fe Blvd
Avondale, AZ 85392

10815 W McDowell Rd
Ste 304
Avondale, AZ 85392
Phone (623) 433-0155

10815 W McDowell Rd
Ste 305
Avondale, AZ 85392
Phone (480) 840-1754

13026 W Rancho Santa Fe Blvd
Ste C100
Avondale, AZ 85392
Phone (480) 239-9786

1500 S Watson Rd
Ste C104
Buckeye, AZ 85326
Phone (623) 251-7559

3200 N Dobson Rd
Ste B-1
Chandler, AZ 85224
Phone (602) 491-0701

5112 W Olive Ave
#C113
Glendale, AZ 85302
Phone (602) 941-0703

5112 W Olive Ave
Ste C113
Glendale, AZ 85302
Phone (623) 934-9267

7330 N 99th Ave
Ste 325
Glendale, AZ 85307
Phone (480) 398-7620

13555 W McDowell Rd
Ste 103
Goodyear, AZ 85395
Phone (623) 433-0155

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

9139 W Thunderbird Rd
Ste 265
Peoria, AZ 85381
Phone (602) 777-7011

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

14670 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 633-3824

12100 N Dysart Rd
Surprise, AZ 85379

12100 N Dysart Rd
Ste 105
Surprise, AZ 85379

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24378/brand/3/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1669248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1487364949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD STE 305",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925016",
            "telephone_number": "623-433-0155",
            "fax_number": "623-433-0185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13555 W McDowell Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952625",
            "country_code": "US",
            "telephone_number": "623-932-1157",
            "fax_number": "623-932-1045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14670 N Del Webb Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853512137",
            "country_code": "US",
            "telephone_number": "602-633-3824",
            "fax_number": "602-633-3827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 N 99th Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853073022",
            "country_code": "US",
            "telephone_number": "480-398-7620",
            "fax_number": "480-398-7621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "LISA",
        "credential": "APRN-RNP, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "284281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.