Individual provider Active NPI

Elizabeth Ann Fisher, FNP

  • Family Nurse Practitioner
  • Parker, AZ
National Provider Identifier
1639941909
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
276765 Issued in AZ
Practice address
1200 W Mohave Rd
Parker, AZ 85344-6349
Phone
(928) 669-7380
Fax
(928) 669-7371
NPI assigned
Oct 30, 2023
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 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 276765 AZ Primary

Addresses

Primary practice location

1200 W Mohave Rd
Parker, AZ 85344-6349

Mailing address

169 El Dorado Ave S
Lake Havasu City, AZ 86403-6064
Phone (951) 897-2441

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
I20240201004328 AZ Practitioner - Nurse Practitioner 7214380534 Reassigns benefits to 1 organization

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
La Paz Regional Hospital IncGroup PAC ID 1557273356, 50 clinicians

Practice addresses (Care Compare)

150 E Tyson Rd
Quartzsite, AZ 85359-0000
Phone (928) 669-7498

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276765AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Regional Hospital Inc Current Accepting new patients
Lakeside Orthopedic Institute, LLC CurrentSince Jan 1, 2024 Accepting new patients
Lakeside Orthopedic Institute LLC Current Accepting new patients
Lakeside Orthopedic Institute LLC CurrentSince Jan 1, 2024 Accepting new patients
La Paz Regional Hospital Inc., Dba Parker Podiatry CurrentSince Aug 1, 2024 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Aug 1, 2024 Accepting new patients
La Paz Regional Hospital Inc Past Accepting new patients

Locations

2440 Adobe Rd
Ste 101
Bullhead City, AZ 86442
Phone (928) 763-3181

1944 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 505-9729

2035 Mesquite Ave
Ste C
Lk Havasu Cty, AZ 86403
Phone (928) 453-1101

25 Riviera Blvd
Lk Havasu Cty, AZ 86403
Phone (928) 505-7246

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

Organizations & group practices 7

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 3

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1639941909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 EL DORADO AVE S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036064",
            "telephone_number": "951-897-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MOHAVE RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446349",
            "telephone_number": "928-669-7380",
            "fax_number": "928-669-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "276765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

Verify at the official NPI Registry.