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

Lisa Renae Bigelow

Individual provider Family Nurse Practitioner · NPI 1700495207

Lisa Renae Bigelow is a Nurse Practitioner in Eagar, Arizona. Qualified in 2020, 6 years ago. Practices with White Mountain Regional Medical Center, a 16-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020

Practice location Address checks out

1024 Spanish Trail P132
Eagar, AZ 85925-8592
Phone: (928) 245-0012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 242067 (AZ)

Record details

NPI number1700495207
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2020
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice White Mountain Regional Medical Center — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eagar