Lisa Robin Glass, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

227363 Issued in AZ

Practice address

13370 E Mary Ann Cleveland Way Ste 102
Vail, AZ 85641-8610

Phone

(520) 585-5002

Fax

(520) 585-5008

NPI assigned

Mar 12, 2019

Last updated

May 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benson Hospital CorporationGroup PAC ID 3274443056, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Sierra Vista, AZ, CCN 037416
• Benson Hospital Hospital, Benson, AZ, CCN 031301
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.cellamiller.1@18129.direct.athenahealth.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.

• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Medicare reassignment Care Compare group NPD
• Benson Hospital Corporation

  • Rural Health Clinic/Center
  • Vail, AZ
  • NPI 1457924920
  NPD
• Codac Health Recovery and Wellness

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1033156567
  NPD (past)
• Oak Street Health Physicians Group of Arizona PLLC

  • Primary Care Clinic/Center
  • Apache Junction, AZ
  • NPI 1063083590

  Family Medicine

  NPD (past)
• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Sierra Vista, AZ
  • NPI 1912291139
  Care Compare affiliation
• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1962961615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 FAIRFIELD WAY APT 9",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253426",
            "telephone_number": "631-651-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13370 E MARY ANN CLEVELAND WAY STE 102",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856418610",
            "telephone_number": "520-585-5002",
            "fax_number": "520-585-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 S 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857134701",
            "country_code": "US",
            "telephone_number": "520-475-5418",
            "fax_number": "520-300-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "LISA",
        "middle_name": "ROBIN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "227363",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Christene Gage
• Kelly Gallardo
• Angela Christine Garcia, SLPA
• Jennifer Lynn Garcia, COTA
• Anne Hayes Getty, PMHNP
• Glorious Therapy Services LLC
• Adam Robert Godfrey, SSP, NASP
• Mark A Goforth, NURSE PRACTITIONER
• Sussan Lee Goldsworthy, DNP, PMHNP-BC
• Isabel Gomez, PTA

• Family Nurse Practitioner in Vail, AZ
• Providers in Vail, 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 May 21, 2026; 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.