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

Individual provider Family Nurse Practitioner · NPI 1881911709

Lisa Ann Medeiros, CRNP is a Nurse Practitioner in Annapolis, Maryland. Qualified in 2004, 22 years ago. Practices with Arizona Gastroenterology Ltd, a 9-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
22
Licensed in
MD
In the registry since
2010
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

621 Ridgely Ave Ste 201
Annapolis, MD 21401-1081
Phone: (410) 224-4887
Fax: (410) 266-6931
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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 R089995 (MD)

Record details

NPI number1881911709
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 2, 2010
Last updated in NPPESFebruary 19, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Arizona Gastroenterology Ltd — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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