MARY MACON LISSNER FNP-C NPI 1811375132

NPI Information

  • NPI: 1811375132
  • Provider Name: MARY MACON LISSNER, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5259 W INDIAN SCHOOL RD STE 100
    PHOENIX, AZ
    ZIP 85031
  • Phone: (623) 888-5101

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NPI Details

Mary Macon Lissner, FNP-C is a family nurse practitioner in Phoenix, AZ with 11 years of experience. Mary Macon Lissner, FNP-C NPI is 1811375132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5259 W INDIAN SCHOOL RD STE 100
PHOENIX, AZ
ZIP 85031-651
Phone: (623) 888-5101

The NPI 1811375132 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 5/7/2015 and was last updated on 9/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN234158GEORGIANo
2363LF0000XNurse PractitionerFamily272005ARIZONAYes
3363LF0000XNurse PractitionerFamilyR222059MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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