Individual provider Active NPI

Lisa Marie McCusker, DNP, APRN, FNP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1588032783
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8693 Issued in AZ
Practice address
10305 E Vaca PL
Tucson, AZ 85749-9252
Phone
(520) 979-4115
NPI assigned
Sep 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP8693 AZ Primary

Addresses

Primary practice location

10305 E Vaca PL
Tucson, AZ 85749-9252

Mailing address

10305 East Vaca Place
Tucson, AZ 85749-9252
Phone (520) 979-4115

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
I20171009002787 AZ Practitioner - Nurse Practitioner 7911298534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Jan 8, 2021 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jan 8, 2021 Accepting new patients

Locations

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

20414 N 27th Ave
Fl 4
Phoenix, AZ 85027
Phone (623) 707-2895

6365 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 290-0300

4730 E Grant Rd
Tucson, AZ 85712
Phone (520) 290-0300

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

6365 E Tanque Verde Rd
Ste 120
Tucson, AZ 85715
Phone (520) 290-0300

Organizations & group practices 2

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": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1588032783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 EAST VACA PLACE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499252",
            "telephone_number": "520-979-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 E VACA PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499252",
            "telephone_number": "520-979-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUSKER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.