Lisa Renae Bigelow

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

242067 Issued in AZ

Practice address

1024 Spanish Trail, P132
Eagar, AZ 85925-8592

Phone

(928) 245-0012

NPI assigned

Jul 30, 2020

Last updated

Jul 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Mountain Regional Medical CenterGroup PAC ID 1951203512, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Safford, LLC Home health agency, Safford, AZ, CCN 037815
• White Mountain Regional Medical Center Hospital, Springerville, AZ, CCN 031315
• Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062
• White Mountain Regional Medical Center Nursing home, CCN 03Z315

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• White Mountain Regional Medical Center

  • Critical Access Hospital
  • Springerville, AZ
  • NPI 1699766592
  Medicare reassignment Care Compare group NPD
• Canyonlands Community Health Care

  dba Canyonlands Health Care - Clifton

  • Federally Qualified Health Center (FQHC)
  • Clifton, AZ
  • NPI 1134568660
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Health Safford, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Safford, AZ
  • NPI 1154915015
  Care Compare affiliation
• Summit Healthcare Association

  dba Summit Healthcare Oncology Center

  • Oncology Clinic/Center
  • Show Low, AZ
  • NPI 1083736128

  Hospital

  Care Compare affiliation
• Summit Healthcare Association

  dba Summit Healthcare Regional Medical Center

  • Rural Acute Care Hospital
  • Show Low, AZ
  • NPI 1144209271
  Care Compare affiliation
• Summit Healthcare Medical Associates

  dba Family Medicine at Bison Ranch

  • Rural Health Clinic/Center
  • Overgaard, AZ
  • NPI 1770700767

  Hospital

  Care Compare affiliation
• White Mountain Regional Medical Center

  • Critical Access Hospital
  • Springerville, AZ
  • NPI 1699766592
  Care Compare affiliation

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1700495207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N MAIN ST",
            "city": "EAGAR",
            "state": "AZ",
            "postal_code": "859259813",
            "telephone_number": "928-333-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 SPANISH TRAIL, P132",
            "city": "EAGAR",
            "state": "AZ",
            "postal_code": "859258592",
            "telephone_number": "928-245-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "LISA",
        "middle_name": "RENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "242067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Blatt, CH
• Natalie Sue Cordova, M.S.,CCC-SLP
• Eagar Family Chiropractic, LLC
• Kevin M Eagar, DC
• Ez Counseling

• Family Nurse Practitioner in Eagar, AZ
• Providers in Eagar, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.