LISA KNEEDLER RNC, NNP
NPI 1063578003
Nurse Practitioner - Neonatal in Ft Worth, TX

Q: What is Lisa Kneedler's NPI number?

The NPI number for Lisa Kneedler is 1063578003. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Q: What is Lisa Kneedler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Kneedler was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment

1301 PENNSYLVANIA AVE, FT WORTH, TX 76104(817) 250-2892 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lisa Kneedler Rnc, Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA KNEEDLER RNC, NNP (NPI 1063578003) is an individual neonatal provider in Ft Worth, Texas, licensed in Texas (680269) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2006).

NPPES Registry Identity

NPI1063578003

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameLISA KNEEDLERCredential: RNC, NNP

Location Address1301 PENNSYLVANIA AVEFt Worth, TX 76104-2122

Mailing Address204 Stanford CtHeath, TX 75032-6614

Phone(817) 250-2892

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2006

Enumeration DateDecember 27, 2006

Last NPPES UpdateMarch 27, 2013

✔ NPI 1063578003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in TX · 680269

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 680269 (TX)

1301 PENNSYLVANIA AVE, Ft Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Kneedler Rnc, Nnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072749043

PECOS Enrollment IDI20251217000098

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Kneedler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation

939 mi

Multi-Specialty

807 CHILDRENS WAY
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
703 clinicians in this Medicare group

NPI 1265585806 (904) 697-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEIDI DANIELLE TOMLINSON M.D.

Pediatrics

1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104

Tarrant County (817) 250-2892

RICARDO VILLARREAL JR. MD

Internal Medicine