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

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: August 02, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Pediatrics
1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104
Internal Medicine
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Registered Nurse (Neonatal Intensive Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal, Critical Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Psychiatric/Mental Health)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Lisa Kneedler located?

Lisa Kneedler practices at 1301 Pennsylvania Ave, Ft Worth, TX 76104. The listed phone number is (817) 250-2892.

What is Lisa Kneedler's specialty?

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

Is Lisa Kneedler enrolled in Medicare?

Yes. Lisa Kneedler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Kneedler accept?

Health plans from Oscar Insurance Company list Lisa Kneedler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.