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MRS. LISA TINGEN MOORE NP
NPI 1255070439
Nurse Practitioner - Adult Health in Kernersville, NC

Active since June 03, 2022PECOS Enrolled
1695 KERNERSVILLE MEDICAL PARKWAY, KERNERSVILLE, NC 27284(336) 515-5000 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lisa Tingen Moore Np NPPES

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

MRS. LISA TINGEN MOORE NP (NPI 1255070439) is an individual adult health provider in Kernersville, North Carolina, licensed in North Carolina (5016303) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255070439
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. LISA TINGEN MOORECredential: NP
Location Address1695 KERNERSVILLE MEDICAL PARKWAYKernersville, NC 27284
Mailing Address4670 Merriweather RdWinston Salem, NC 27107-6430 · (336) 785-0174
Phone(336) 515-5000
Sole ProprietorNo
Enumeration DateJune 3, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1255070439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5016303
1695 KERNERSVILLE MEDICAL PARKWAY, Kernersville, NC 27284
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Tingen Moore Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 27284 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 3

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

SALISBURY VAMC
Clinic/Center (VA)
1695 KERNERSVILLE MEDICAL PARKWAY
KERNERSVILLE, NC 27284
Forsyth County (828) 257-3777
DR. MIRNA DARLENY MARTINEZ DO
Internal Medicine
1695 KERNERSVILLE MEDICAL PARKWAY
KERNERSVILLE, NC 27284
Forsyth County (336) 515-5000
SALISBURY VAMC
Department of Veterans Affairs (VA) Pharmacy
1695 KERNERSVILLE MEDICAL PARKWAY
KERNERSVILLE, NC 27284
Forsyth County (336) 515-5000

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 Moore's NPI number?

The NPI number for Lisa Moore is 1255070439. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Lisa Moore located?

Lisa Moore practices at 1695 Kernersville Medical Parkway, Kernersville, NC 27284. The listed phone number is (336) 515-5000.

What is Lisa Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Moore enrolled in Medicare?

Yes. Lisa Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Moore was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.