Lisa Ann Medeiros, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R089995 Issued in MD

Practice address

621 Ridgely Ave
Suite 201
Annapolis, MD 21401-1081

Phone

(410) 224-4887

Fax

(410) 266-6931

NPI assigned

May 2, 2010

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Gastroenterology LTDGroup PAC ID 6507842234, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
• Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: lisa.medeiros.p1@direct.azgastroenterology.nextgenshare.com
• Direct secure messaging: lisa.medeiros.p2@direct.azgastroenterology.nextgenshare.com

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.

• Arizona Gastroenterology LTD

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1043297690
  Medicare reassignment Care Compare group NPD
• Miguel a. Arenas, M.D., PC

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1053515130
  Medicare reassignment NPD
• Infuseable Healthcare, LLC

  dba FlexCare Infusion Centers

  • Infusion Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1689288938
  NPD (past)

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

• Northwest Hospital LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1487607784
  Care Compare affiliation
• Oro Valley Hospital LLC

  dba Oro Valley Hospital

  • General Acute Care Hospital
  • Oro Valley, AZ
  • NPI 1386697688
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1272758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1881911709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 RIDGELY AVE",
            "address_2": "SUITE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011081",
            "telephone_number": "410-224-4887",
            "fax_number": "410-266-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 RIDGELY AVE",
            "address_2": "SUITE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011081",
            "telephone_number": "410-224-4887",
            "fax_number": "410-266-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-02",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R089995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mdics Rehabilitative Services
• Mdics Rehabilitative Services - Ltcaco LLC
• Mdics Rehabilitative Services LLC
• Meadow Hill Wellness
• Nikki S Meadows, O.D.
• Medequip Maufacturing. Inc.
• Medical Center for Healthy Weight Loss, Inc. (LiveLyte Medical Weight Management)
• Medical Center Orthotics and Prosthetics, LLC (ForMotion Clinic)
• Kristen Michele Medina, CPNP
• David G Medland, M.D.

• Family Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.