Individual provider Active NPI

Lisa Ann Parker, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mequon, WI
National Provider Identifier
1871066506
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8150-33 Issued in WI
Practice address
11649 N Port Washington Rd Ste 221
Mequon, WI 53092-3461
Phone
(262) 912-1922
NPI assigned
Jan 4, 2019
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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 8150-33 WI
Nurse Practitioner 363L00000X 8150-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8150-33 WI Primary

Addresses

Primary practice location

11649 N Port Washington Rd Ste 221
Mequon, WI 53092-3461

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (262) 912-1922

Other practice location 1

5555 N Port Washington Rd Ste 200
Glendale, WI 53217-4927
Phone (262) 999-3495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20201224000194 WI Practitioner - Nurse Practitioner 8325450984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

11649 N Port Washington Rd
Suite 221
Mequon, WI 53092-3461
Phone (262) 999-3495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8150-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mequon Clinical Associates, SC CurrentSince Apr 23, 2023 Accepting new patients
Cornerstone Counseling Services, Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

5555 N Port Washington Rd
Ste 200
Glendale, WI 53217
Phone (414) 962-6100

1045 W Glen Oaks Ln
Ste 1
Mequon, WI 53092
Phone (262) 241-7778

11649 N Port Washington Rd
Ste 201
Mequon, WI 53092
Phone 2627891191362

11649 N Port Washington Rd
Ste 221
Mequon, WI 53092
Phone (262) 912-1922

10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lisaparker@149809.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1871066506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "262-912-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11649 N PORT WASHINGTON RD STE 221",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923461",
            "telephone_number": "262-912-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 N PORT WASHINGTON RD STE 200",
            "address_purpose": "LOCATION",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174927",
            "country_code": "US",
            "telephone_number": "262-999-3495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8150-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8150-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "8150-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.