LISA A MOORE FNP-C
NPI 1558641969
Nurse Practitioner - Family in Memphis, TN
About Lisa A Moore Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA A MOORE FNP-C (NPI 1558641969) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (APN0000015941) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 A Moore Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
White House, TN 37188
- Reassigned Medicare billing, Tennessee enrollment
- 341 clinicians in this Medicare group
Henrico, VA 23228
- Reassigned Medicare billing, Virginia enrollment
- 36 clinicians in this Medicare group
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 38111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MEMPHIS, TN 38111
MEMPHIS, TN 38111
MEMPHIS, TN 38111
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 1558641969. It was assigned to this individual provider in the NPPES registry on August 17, 2011.
Where is Lisa Moore located?
Lisa Moore practices at 3444 Plaza Ave, Memphis, TN 38111. The listed phone number is (901) 730-4204.
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.
Which organizations bill Medicare for Lisa Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Moore reassigns Medicare benefits to 2 organizations: The Little Clinic Of Tennessee LLC (White House, TN) and Little Clinic Of VA LLC (Henrico, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Moore accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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.
When was this NPI record last updated?
The NPPES record for Lisa Moore was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Lisa A Moore, FNP-C · NPI 1558641969
Family physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since August 17, 2011.
## Identity
- **NPI:** 1558641969 (Entity type: Individual)
- **Enumerated:** August 17, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN0000015941 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3444 PLAZA AVE, Memphis, TN 38111-4614
- **Phone:** (901) 730-4204 · **Fax:** (901) 730-4357
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Little Clinic Of Tennessee LLC (NPI 1487848800, White House, TN); Little Clinic Of VA LLC (NPI 1225440076, Henrico, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558641969) · Data from the CMS NPPES public registry.