Mary Macon Lissner, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

272005 Issued in AZ

Practice address

5259 W Indian School Rd Ste 100
Phoenix, AZ 85031-2651

Phone

(623) 888-5101

NPI assigned

May 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AZ2 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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.21 of 100Reported as group

Quality

77.66

Promoting interoperability

100

Improvement activities

40

Cost

66.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1740273614
  Medicare reassignment Care Compare group NPD
• Wellstreet of Georgia PC

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  Medicare reassignment NPD
• Honorhealth Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1700423415
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1811375132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13122 N 103RD ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607200",
            "telephone_number": "404-550-2945",
            "fax_number": "706-310-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 W INDIAN SCHOOL RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312651",
            "telephone_number": "623-888-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2118 Scenic Hwy N Ste H",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300786197",
            "country_code": "US",
            "telephone_number": "770-207-9201",
            "fax_number": "770-558-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISSNER",
        "first_name": "MARY MACON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN234158",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "272005",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R222059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hunt, MD, PLC
• Lisa Sparks, MD, PC
• Kimberly Lisack, LCSW
• Taryn Madison Liska, ACNP
• Holly Liske, DPT
• Sara Listar-Guest, LMFT
• Tamara Sue Lister, FNP
• Wendy Liszewski, PT
• Charles S Litecky, PHARMD
• Little Achievers ABA Az LLC

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, 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 Sep 15, 2024; 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.