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

Lisette Amezcua, FNP

Individual provider Family Nurse Practitioner · NPI 1962266858

Lisette Amezcua, FNP is a Nurse Practitioner in Avondale, Arizona. Qualified in 2023, 3 years ago. Practices with Privia Medical Group Arizona, LLC, a 96-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2024
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

10815 W McDowell Rd Ste 304
Avondale, AZ 85392-5016
Phone: (623) 433-0155
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 303781 (AZ)

Record details

NPI number1962266858
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 12, 2024
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Privia Medical Group Arizona, Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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