Individual provider Active NPI

Lisa Ann Swansen, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1811298003
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002782 Issued in NV
Practice address
8565 S Eastern Ave Ste 150
Las Vegas, NV 89123-2906
Phone
(888) 709-8721
Fax
(855) 916-1766
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN 3856 AZ
Family Nurse Practitioner 363LF0000X RN139100 AZ
Family Nurse Practitioner 363LF0000X APRN002782 NV Primary

Addresses

Primary practice location

8565 S Eastern Ave Ste 150
Las Vegas, NV 89123-2906

Mailing address

8565 S Eastern Ave Ste 150
Las Vegas, NV 89123-2906
Phone (888) 709-8721

Other identifiers 1

IdentifierTypeStateIssuer
580849MedicaidAZ

Other names 1

  • Lisa Ann Ball Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101220000653 AZ Practitioner - Nurse Practitioner 7911195847 Reassigns benefits to 4 organizations
I20191112003696 NV Practitioner - Nurse Practitioner 7911195847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Active Vital Care LLCGroup PAC ID 3870942428, 19 clinicians
Mulberry Medical LLCGroup PAC ID 2365954450, 30 clinicians

Practice addresses (Care Compare)

1928 E Highland Ave
Suite F104
Phoenix, AZ 85016-4626
Phone (833) 242-0100

5801 S McClintock Dr
Suite 104
Tempe, AZ 85283-6002
Phone (623) 220-2602

Hospital & facility affiliations

  • Sunrise Health Services Home health agency, Mesa, AZ, CCN 037226
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN 3856AZMDFamily Nurse Practitioner
RN139100AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Active Vital Care LLC CurrentSince May 22, 2025 Accepting new patients
Mulberry Medical LLC CurrentSince Jun 1, 2025 Accepting new patients
Agave Adult Medical Care LLC CurrentSince Aug 1, 2025 Accepting new patients
Mydockj Past Accepting new patients
NM Pacs 2 LLC Past Accepting new patients
Biltmore Family Physicians, PC PastSince Feb 1, 1999 Accepting new patients
Plastic and Peripheral Nerve Surgery LLC PastSince Jun 1, 2025 Accepting new patients
Mobileonedocs, LLC Past Accepting new patients
Mobileonedocs, LLC Family Past Accepting new patients

Locations

1928 E Highland Ave
Ste F104
Phoenix, AZ 85016
Phone (602) 898-6977

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

70 Bell Rock Plz
Ste C
Sedona, AZ 86351
Phone (315) 717-7898

5801 S McClintock Dr
Ste 104
Tempe, AZ 85283
Phone (623) 220-2601

Interoperability endpoints

  • Direct secure messaging: lisa.swansen@mod.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIDD
  • FHIR API: https://api.platform.athenahealth.com/25335/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lisa.swansen.1@27427.direct.athenahealth.com

Organizations & group practices 10

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 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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1811298003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232906",
            "telephone_number": "888-709-8721",
            "fax_number": "855-916-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S EASTERN AVE STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232906",
            "telephone_number": "888-709-8721",
            "fax_number": "855-916-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSEN",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "APN 3856",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN139100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580849",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BALL",
            "middle_name": "ANN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.