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MRS. LISA MARCELLA MOORE CNP
NPI 1336643410
Nurse Practitioner - Family in Winchester, IN

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
409 SE GREENVILLE AVE, WINCHESTER, IN 47394(765) 584-0480 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2022, Nov 25, 2019, Mar 22, 2019 and 2 more (5 updates tracked since 2018).

About Mrs. Lisa Marcella Moore Cnp NPPES

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

MRS. LISA MARCELLA MOORE CNP (NPI 1336643410) is an individual family provider in Winchester, Indiana, licensed in Indiana (71008271A) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of University Of Cincinnati College Of Medicine (2017).

NPPES Registry Identity

NPI1336643410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA MARCELLA MOORECredential: CNP
Location Address409 SE GREENVILLE AVEWinchester, IN 47394-9464
Mailing Address409 Se Greenville AveWinchester, IN 47394-9464
Phone(765) 584-0480
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2017
Enumeration DateMarch 22, 2018
Last NPPES UpdateJuly 26, 20225 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1336643410 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 IN · 71008271A✔ Licensed in OH · APRN.CNP.022576
409 SE GREENVILLE AVE, Winchester, IN 47394
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Lisa Marcella Breymier Cnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mrs. Lisa Marcella Moore Cnp 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 ID9830445469
PECOS Enrollment IDI20181120002401
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.

Hospital Affiliations CMS Care Compare 2

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

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Ascension St Vincent Randolph

Critical Access Hospitals · Winchester, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151301
Location473 E Greenville AveWinchester, IN 47394 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47394 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$21.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$119.63 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$38.35 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$29.58 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 5

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

ARTHUR R BOERNER MD PSC
Obstetrics & Gynecology
409 SE GREENVILLE AVE
WINCHESTER, IN 47394
Randolph County (765) 584-0480
ELIZABETH JADE DAVIS
Nurse Practitioner (Family)
409 SE GREENVILLE AVE
WINCHESTER, IN 47394
Randolph County (765) 584-0480
MRS. HEIDI MARIE KRAUSKOPF FNP-BC
Nurse Practitioner (Family)
409 SE GREENVILLE AVE
WINCHESTER, IN 47394
Randolph County (765) 584-0480
ST. VINCENT MEDICAL GROUP, INC.
Preventive Medicine (Occupational Medicine)
409 SE GREENVILLE AVE
WINCHESTER, IN 47394
Randolph County (765) 584-0480
DR. MARILYNN JANICE DENSON MD
Obstetrics & Gynecology
409 SE GREENVILLE AVE
WINCHESTER, IN 47394
Randolph County (765) 584-0459

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 1336643410. It was assigned to this individual provider in the NPPES registry on March 22, 2018. The provider is also known as Ms. Lisa Marcella Breymier Cnp.

Where is Lisa Moore located?

Lisa Moore practices at 409 SE Greenville Ave, Winchester, IN 47394. The listed phone number is (765) 584-0480.

What is Lisa Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Moore enrolled in Medicare?

Yes. Lisa Moore 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 Moore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Lisa Moore 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.

Is Lisa Moore affiliated with any hospitals?

According to CMS data, Lisa Moore is affiliated with Reid Health and Ascension St Vincent Randolph.

When was this NPI record last updated?

The NPPES record for Lisa Moore was last updated on July 26, 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.