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
Mailing address8415 N Dexter Ave, Tampa, FL 33604-1301

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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