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

Gina Lisch, NP

Individual provider Family Nurse Practitioner · NPI 1336116433

Gina Lisch, NP is a Nurse Practitioner in Surprise, Arizona. Qualified in 1987, 39 years ago. Practices with Minuteclinic LLC, a 574-clinician group and accepts Medicare assignment. Licensed in Arizona, California and Ohio.

Years since qualifying
39
Licensed in
AZ, CA, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

15474 W Greenway Rd
Surprise, AZ 85374-4348
Phone: (623) 584-1964
Fax: (623) 544-2359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN138704AP2390 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN297329NP5983 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN155396NP07758 (OH)

Record details

NPI number1336116433
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Minuteclinic Llc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Surprise