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

Lisa Kristine Mizeur, FNP

Individual provider Family Medicine Physician · NPI 1003455742

Lisa Kristine Mizeur, FNP is a Nurse Practitioner in Bend, Oregon. Qualified in 2019, 7 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
7
Licensed in
CA, OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2600 NE Neff Rd
Bend, OR 97701-6337
Phone: (541) 706-4800
Fax: (541) 706-4806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16337 Everhart Dr, Weed, CA 96094-9400 — (530) 938-2297

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202100982NP-PP (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 95013410 (CA)

Record details

NPI number1003455742
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 28, 2019
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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