Individual provider Active NPI

Lisa Egleston, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1528953130
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN178589 Issued in AZ
Practice address
16972 W Stevenage St
Surprise, AZ 85374-0820
Phone
(623) 317-3780
NPI assigned
Jun 12, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 RN178589 AZ Primary

Addresses

Primary practice location

16972 W Stevenage St
Surprise, AZ 85374-0820

Mailing address

16972 W Stevenage St
Surprise, AZ 85374-0820
Phone (623) 317-3780

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
I20260421000573 AZ Practitioner - Nurse Practitioner 5890188411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alante Primary Care and Palliative Services LLCGroup PAC ID 4183016769, 13 clinicians

Practice addresses (Care Compare)

8502 E Princess Dr
Suite 200E
Scottsdale, AZ 85255-7802
Phone (480) 631-4978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN178589AZMDFamily Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1528953130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16972 W STEVENAGE ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740820",
            "telephone_number": "623-317-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16972 W STEVENAGE ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740820",
            "telephone_number": "623-317-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGLESTON",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN178589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.