Lisa Stadum, NP
NPI 1063577161 · Family Nurse Practitioner · Prescott, AZ
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Stadum, NP is a Family Nurse Practitioner provider in Prescott, AZ (NPI 1063577161).
Provider details
- NPI number
- 1063577161
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- AP2577 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2011-08-17
Frequently asked questions
- What is Lisa Stadum's NPI number?
- Lisa Stadum's National Provider Identifier (NPI) is 1063577161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Stadum's specialty?
- Lisa Stadum is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lisa Stadum located?
- Lisa Stadum's practice location on file with NPPES is 2100 Centerpointe West Dr, Prescott, AZ 86301-8487.
- What is Lisa Stadum's phone number?
- The practice phone number listed in the NPPES registry for Lisa Stadum is (928) 717-0788.
- Does Lisa Stadum accept Medicare?
- Lisa Stadum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Stadum's NPI active?
- Yes — Lisa Stadum's NPI (1063577161) is active in the NPPES registry as of the last update on 2011-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.