Individual provider Active NPI

Eliza Lenihan, NP

  • Gerontology Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1962298059
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
PENDING Issued in AZ
Practice address
1432 S Dobson Rd Ste 106
Mesa, AZ 85202-4769
Phone
(480) 969-3637
Fax
(480) 969-6568
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X PENDING AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd Ste 106
Mesa, AZ 85202-4769

Mailing address

PO Box 6423
Chandler, AZ 85246-6423

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250606001406 AZ Practitioner - Nurse Practitioner 1658881909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians

Practice addresses (Care Compare)

1432 S Dobson Rd
Suite 106
Mesa, AZ 85202-4769
Phone (480) 969-3637

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGAZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Physicians, PC CurrentSince May 7, 2025 Accepting new patients
Ironwood Physicians, PC CurrentSince May 7, 2025 Accepting new patients
Ironwood Physicians, PC Current Accepting new patients

Locations

685 S Dobson Rd
Chandler, AZ 85224
Phone (480) 324-5220

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

1432 S Dobson Rd
Ste 106
Mesa, AZ 85202
Phone (480) 969-3637

Organizations & group practices 3

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 1

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": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1962298059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024769",
            "telephone_number": "480-969-3637",
            "fax_number": "480-969-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENIHAN",
        "first_name": "ELIZA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.