Lisa Marie Hairston, APRN, CRNP, FNP-BC - Medicare Nurse Practitioner in Phoenix, AZ

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Lisa Marie Hairston, APRN, CRNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. Her current practice location is 18444 N 25th Ave # 18, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (562) 684-7575.

Lisa Marie Hairston is licensed to practice in Arizona (license number F1216319) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912439381.

Contact Information

Lisa Marie Hairston, APRN, CRNP, FNP-BC
18444 N 25th Ave # 18,
Phoenix, AZ 85023-1261
(562) 684-7575
Not Available

Map and Direction




Provider's Profile

Full NameLisa Marie Hairston
GenderFemale
SpecialityNurse Practitioner - Family
Location18444 N 25th Ave # 18, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912439381
  • Provider Enumeration Date: 04/03/2017
  • Last Update Date: 07/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062777444
  • Enrollment ID: I20230622001005

Medical Identifiers

Medical identifiers for Lisa Marie Hairston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912439381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP017383 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family F1216319 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Marie Hairston allows following entities to bill medicare on her behalf.
Entity NameStonerise Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558743849
PECOS PAC ID: 8729395769
Enrollment ID: O20150923001871
Entity NameMatrix Medical Network Of West
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942569033
PECOS PAC ID: 0244598621
Enrollment ID: O20171212001076
Entity NamePa Post Acute Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255057063
PECOS PAC ID: 7911374905
Enrollment ID: O20221222001033
Entity NameHealthfair Plus Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20230420002891

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Marie Hairston is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Marie Hairston, APRN, CRNP, FNP-BC
18444 N 25th Ave # 18,
Phoenix, AZ 85023-1261

Ph: (412) 901-5758		Lisa Marie Hairston, APRN, CRNP, FNP-BC
18444 N 25th Ave # 18,
Phoenix, AZ 85023-1261

Ph: (562) 684-7575

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.