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

Mrs. Lisa Marie Blasko, FNP-C

Individual provider Family Nurse Practitioner · NPI 1245646629

Mrs. Lisa Marie Blasko, FNP-C is a Nurse Practitioner in Payson, Arizona. Qualified in 2012, 14 years ago. Practices with Chelani Productions, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

120 E Main St Ste B
Payson, AZ 85541-5618
Phone: (928) 472-2225
Fax: (928) 468-0002
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 TAP5705 (AZ)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence RN152442 (AZ)

Record details

NPI number1245646629
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 7, 2014
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Chelani Productions, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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