LISA MOORE
NPI 1649767435
Psychiatry & Neurology - Neurology in Danville, IL

Active since April 17, 2018PECOS Enrolled
1900 E MAIN ST, DANVILLE, IL 61832(217) 554-3000 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Jun 6, 2023, Apr 11, 2022 and 1 more (4 updates tracked since 2018).

About Lisa Moore NPPES

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

LISA MOORE (NPI 1649767435) is an individual neurology provider in Danville, Illinois, licensed in Illinois (036.164287) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649767435
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameLISA MOORE
Location Address1900 E MAIN STDanville, IL 61832-5100
Mailing Address1900 E Main StDanville, IL 61832-5100
Sole ProprietorNo
Enumeration DateApril 17, 2018
Last NPPES UpdateSeptember 6, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1649767435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in IL · 036.164287 Licensed in MN · 72004
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1900 E MAIN ST, Danville, IL 61832

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Moore 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 61832 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Physical Therapist
1900 E MAIN ST
DANVILLE, IL 61832
Occupational Therapist (Mental Health)
1900 E MAIN ST
DANVILLE, IL 61832
Pharmacist
1900 E MAIN ST
DANVILLE, IL 61832
Psychologist (Clinical)
1900 E MAIN ST
DANVILLE, IL 61832
Social Worker
1900 E MAIN ST
DANVILLE, IL 61832
Dietitian, Registered
1900 E MAIN ST
DANVILLE, IL 61832
Physician Assistant
1900 E MAIN ST
DANVILLE, IL 61832
Hospitalist
1900 E MAIN ST
DANVILLE, IL 61832

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 1649767435. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Lisa Moore located?

Lisa Moore practices at 1900 E Main St, Danville, IL 61832. The listed phone number is (217) 554-3000.

What is Lisa Moore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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 September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.