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

Lisa Robin Glass, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1962961615

Lisa Robin Glass, NURSEPRACTITIONER is a Nurse Practitioner in Vail, Arizona. Qualified in 2019, 7 years ago. Practices with Benson Hospital Corporation, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and New York.

Years since qualifying
7
Licensed in
AZ, NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

13370 E Mary Ann Cleveland Way Ste 102
Vail, AZ 85641-8610
Phone: (520) 585-5002
Fax: (520) 585-5008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2720 S 6th Ave, Tucson, AZ 85713-4701 — (520) 475-5418

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 227363 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 344218 (NY)

Record details

NPI number1962961615
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMarch 12, 2019
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

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 Benson Hospital Corporation — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vail