Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Casazza

Individual provider Nurse Practitioner · NPI 1306418819

Lisa Casazza is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Athena Medical Group, a 43-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

16515 S 40th St Ste 143
Phoenix, AZ 85048-0560
Phone: (480) 712-8319
Fax: (480) 712-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 227 Lookout Dr, Apollo Beach, FL 33572-2664 — (813) 409-4587
  • 219 Palermo Pl, Venice, FL 34285-2821 — (941) 244-9524

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11014159 (FL)

Record details

NPI number1306418819
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2021
Last updated in NPPESFebruary 26, 2023
Certification dateFebruary 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Athena Medical Group — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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