LISA A MOULTON APRN
NPI 1316473622
Nurse Practitioner - Family in Lebanon, NH

Active since May 05, 2017PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-8630 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa A Moulton Aprn NPPES

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

LISA A MOULTON APRN (NPI 1316473622) is an individual family provider in Lebanon, New Hampshire, licensed in New Hampshire (030288-23) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Brattleboro Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316473622
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA A MOULTONCredential: APRN
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-0001
Mailing Address1 Medical Center DrLebanon, NH 03756-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 5, 2017
Last NPPES UpdateApril 24, 2019
NPI 1316473622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NH · 030288-23 Licensed in VT · 101.0128895
1 MEDICAL CENTER DR, Lebanon, NH 03756

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 A Moulton Aprn 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 ID42582496
PECOS Enrollment IDI20170818001655
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services65 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Brattleboro Memorial Hospital

Acute Care Hospitals · Brattleboro, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470011
Location17 Belmont AveBrattleboro, VT 05301 · Windham County
Emergency services Birthing friendly

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470012
Location100 Hospital DriveBennington, VT 05201 · Bennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier94 claims94 services$179.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DR
LEBANON, NH 03756
Pharmacist
1 MEDICAL CENTER DR
LEBANON, NH 03756
Nurse Practitioner (Adult Health)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF CARDIOLOGY
LEBANON, NH 03756
Anesthesiology (Pain Medicine)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF PAIN MEDICINE
LEBANON, NH 03756
Physician Assistant (Surgical)
1 MEDICAL CENTER DR, DHMC - ORTHOPAEDICS
LEBANON, NH 03756
Physician Assistant
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF ORTHOPAEDIC SURGERY
LEBANON, NH 03756
Anesthesiology
1 MEDICAL CENTER DR, DHMC - DEPT OF CRITICAL CARE
LEBANON, NH 03756
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1 MEDICAL CENTER DR, DHMC - CHILD DEVELOPMENT
LEBANON, NH 03756

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316473622, enumerated as an "individual" on May 05, 2017.

The provider is located at 1 MEDICAL CENTER DR LEBANON, NH 03756 and the phone number is (603) 650-8630.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Lisa Moulton is affiliated with: BRATTLEBORO MEMORIAL HOSPITAL and SOUTHWESTERN VERMONT MEDICAL CENTER.