Individual provider Active NPI

Lisa Marie Reilly

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1538598354
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5276 Issued in AZ
Practice address
603 N Wilmot Rd Ste 201
Tucson, AZ 85711-2701
Phone
(520) 790-1556
Fax
(520) 440-5156
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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 AP5276 AZ Primary

Addresses

Primary practice location

603 N Wilmot Rd Ste 201
Tucson, AZ 85711-2701

Mailing address

603 N Wilmot Rd Ste 201
Tucson, AZ 85711-2701
Phone (520) 790-1556

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
I20140224000045 AZ Practitioner - Nurse Practitioner 7810127636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Internists of Tucson PLLCGroup PAC ID 1759349988, 7 clinicians

Practice addresses (Care Compare)

603 N Wilmot Rd
Suite 201
Tucson, AZ 85711-2701
Phone (520) 729-1311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.42 of 100Reported as group
Quality
58.99
Improvement activities
40
Cost
56.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Internists of Tucson, PLLC CurrentSince Aug 16, 2023 Accepting new patients
NM Pacs 2 LLC Past Accepting new patients
Agape Hospice & Palliative Care, LLC Past Accepting new patients
Catalina Hospice PLLC PastSince Sep 20, 2020 Accepting new patients

Locations

603 N Wilmot Rd
Ste 201
Tucson, AZ 85711
Phone (520) 729-1311

4310 E Grant Rd
Tucson, AZ 85712
Phone (520) 323-9351

2221 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 881-2323

2611 N Warren Ave
Tucson, AZ 85719
Phone (520) 795-9574

7970 N La Canada Dr
Tucson, AZ 85704
Phone (520) 797-1191

5301 E Grant Rd
Unit 600
Tucson, AZ 85712

Organizations & group practices 5

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 5

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1538598354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N WILMOT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "520-790-1556",
            "fax_number": "520-244-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N WILMOT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112701",
            "telephone_number": "520-790-1556",
            "fax_number": "520-440-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.