Lisa Marie Mendivil, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

300002 Issued in AZ

Practice address

5390 E Erickson Dr
Tucson, AZ 85712-2822

Phone

(520) 314-1545

Fax

(520) 300-7326

NPI assigned

Jul 2, 2024

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vanguard Mobile Physicians PLLCGroup PAC ID 2567744519, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Devoted Healthcare LLC Home health agency, Tucson, AZ, CCN 037831
• Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
• Enhabit Home Health Home health agency, Tucson, AZ, CCN 037451

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Vanguard Mobile Physicians PLLC

  • Community Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1508309626
  Medicare reassignment Care Compare group NPD
• Healthy Tomorrows

  • Primary Care Clinic/Center
  • Gilbert, AZ
  • NPI 1649666124
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Tucson, AZ
  • NPI 1063743078
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Tucson, AZ
  • NPI 1841221751
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Tucson, AZ
  • NPI 1902847973
  Care Compare affiliation
• Devoted Healthcare, LLC

  • Home Health Agency
  • Tucson, AZ
  • NPI 1003406497
  Care Compare affiliation
• Eh Home Health of the West, LLC

  • Home Health Agency
  • Tucson, AZ
  • NPI 1518351865
  Care Compare affiliation

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1992541502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122822",
            "telephone_number": "520-314-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122822",
            "telephone_number": "520-314-1545",
            "fax_number": "520-300-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIVIL",
        "first_name": "LISA MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "300002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlo R Mendez, LPC
• Melissa Mendez, PT, DPT
• Reynaldo Mendibles Jr.
• Hannah Mendivil
• Juan Jabbar Mendivil, PHARMD
• Ana Patricia Mendoza Covarrubias
• Mendoza Medical LLC
• Yasel Mendoza Patterson
• Christian Rene Mendoza Tejedor, MD
• Albert Mendoza

• Adult Health Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

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