LISA KAY ROBERTSON (MSN, AGNP-C) – Gerontology Nurse Practitioner, NPI 1003342734

LISA KAY ROBERTSON (MSN, AGNP-C) is a healthcare provider. based in Tucson, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, AGNP-C. They hold a License No. AP10054 (AZ). The NPI Number for LISA KAY ROBERTSON (MSN, AGNP-C) is 1003342734

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
LISA KAY ROBERTSON (MSN, AGNP-C)
NPI
1003342734
Phone
(520) 429-7166
Address
7476 N Camino De La Tierra
Enumeration Date
1 May 2017
Last Update Date
10 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5208849920
Graduation Year
1993 (33 years ago)
PAC ID
4880953231
Group Practice PAC ID
0648171330
Professional Enrollment ID
I20180111000156
Address ID
AZ857133353TU502XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for LISA KAY ROBERTSON (MSN, AGNP-C)

  • 7476 N Camino De La Tierra

    Tucson, AZ 857412123

    Phone: (520) 429-7166

    Type: Location

  • 504 W 29TH ST

    TUCSON, AZ 857133353

    Phone: (520) 838-5600

    Type: Location

  • North Camino de la Tierra, Flowing Wells, Tucson, Pima County, Arizona, 85741, United States

    TUCSON, AZ 857412123

    Phone: (520) 429-7166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $484.

Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($238).

Total Amount

$484

General + Research + Ownership

Payments

6

Total payment records

General Amount

$484

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180111000156INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6629$0
99214Established patient office or other outpatient visit, 30-39 minutes4026$0
36415Insertion of needle into vein for collection of blood sample1514$0
View full utilization report →

Insurance plans in this area (ZIP 85741)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648171330View full group profile

Reviews

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Frequently asked questions

Does LISA KAY ROBERTSON (MSN, AGNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LISA KAY ROBERTSON (MSN, AGNP-C) uses 1003342734.
Does CMS list LISA KAY ROBERTSON (MSN, AGNP-C) as active?
Yes — LISA KAY ROBERTSON (MSN, AGNP-C) is active in the NPI listing used on this page.
What is LISA KAY ROBERTSON (MSN, AGNP-C)'s primary classification?
Gerontology Nurse Practitioner is the headline specialty for LISA KAY ROBERTSON (MSN, AGNP-C) here. Clinical services aligned with this taxonomy classification.
Where is LISA KAY ROBERTSON (MSN, AGNP-C) based?
LISA KAY ROBERTSON (MSN, AGNP-C) is tied to Tucson, Arizona in the data we show; additional addresses may exist on the full record.
Why does LISA KAY ROBERTSON (MSN, AGNP-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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