Mrs Lisa Marie Land, NP-C, ACNPC-AG - Medicare Nurse Practitioner in Kingman, AZ

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Mrs Lisa Marie Land, NP-C, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Family" in Kingman, Arizona. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mayo Clinic Arizona and her current practice location is 1739 E Beverly Ave, Suite 203, Kingman, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 757-3133.

Mrs Lisa Marie Land is licensed to practice in Arizona (license number AP8621) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083078349.

Contact Information

Mrs Lisa Marie Land, NP-C, ACNPC-AG
1739 E Beverly Ave, Suite 203,
Kingman, AZ 86409-3593
(928) 757-3133
Not Available

Map and Direction




Provider's Profile

Full NameMrs Lisa Marie Land
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1739 E Beverly Ave, Kingman, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Lisa Marie Land graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1083078349
  • Provider Enumeration Date: 04/12/2016
  • Last Update Date: 01/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638468499
  • Enrollment ID: I20160517002577

Medical Identifiers

Medical identifiers for Mrs Lisa Marie Land such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083078349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP8621 (Arizona)Secondary
363LF0000XNurse Practitioner - Family AP8621 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic HospitalPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic Arizona70128299301503

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. Mrs Lisa Marie Land allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic Arizona
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558332494
PECOS PAC ID: 7012829930
Enrollment ID: O20031105000782
Entity NameKingman Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265423917
PECOS PAC ID: 6901791367
Enrollment ID: O20040216001173
Entity NameAleracare Aic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124735063
PECOS PAC ID: 8325419005
Enrollment ID: O20230116000785

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. Mrs Lisa Marie Land 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
Mrs Lisa Marie Land, NP-C, ACNPC-AG
1739 E Beverly Ave, Suite 203,
Kingman, AZ 86409-3593

Ph: (928) 757-3133		Mrs Lisa Marie Land, NP-C, ACNPC-AG
1739 E Beverly Ave, Suite 203,
Kingman, AZ 86409-3593

Ph: (928) 757-3133

Reviews and Comments


Nurse Practitioner Nurses in Kingman, AZ

Steven Korona, MSN, RN, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3505 Western Ave, Kingman, AZ 86409
Phone: 928-757-8111    Fax: 928-757-1199
Michelle Fletcher, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2226 Hualapai Mountain Rd Ste 100, Kingman, AZ 86401
Phone: 928-681-8530    Fax: 928-681-8714
Berenice Jeacel Espinoza, FNP, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3555 Western Ave, Kingman, AZ 86409
Phone: 888-209-8874    
Michael Ritch, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409
Phone: 928-757-2101    
Rachel Rae Delfino Briles, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1739 E Beverly Ave Ste 203, Kingman, AZ 86409
Phone: 928-757-3133    
Andrew Conrad Rucker,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409
Phone: 928-757-2101    

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.