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LISA MOORE
NPI 1679955801
Nurse Anesthetist, Certified Registered in Orange, CA

Active since June 24, 2015Accepts Medicare Assignment

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2022, Dec 1, 2021, Feb 4, 2016 (3 updates tracked since 2016).

About Lisa Moore NPPES

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

LISA MOORE (NPI 1679955801) is an individual nurse anesthetist, certified registered in Orange, California, licensed in California (95000411) and active in the NPI registry since June 2015. She maintains a secondary practice location in Santa Ana and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679955801
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLISA MOORE
Location Address1481 MEADSOrange, CA 92869
Mailing Address1482 MeadsOrange, CA 92869
Phone(714) 420-6516
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 24, 2015
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1679955801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95000411
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1481 MEADS, Orange, CA 92869
Open in Google Maps ↗

Secondary Practice Location 1

Location 11403 N Tustin Ave Ste 100Santa Ana, CA 92705-8691 · Phone (714) 633-1338

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 Moore 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 ID9739485228
PECOS Enrollment IDI20160309001483

Medicare Billing Reassignments

4

Medicare enrollment records show Lisa Moore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Gabriel Anesthesia Associates, PC
4.8 mi
Nurse Anesthetist, Certified Registered
1403 N TUSTIN AVE STE 100
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1538424908 (714) 633-1338
California Anesthesia Group PC
11 mi
Anesthesiology
295 IMPERIAL HWY STE 200B
Fullerton, CA 92835
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1477114742 (714) 770-8366
Southern California Permanente Medical Group
14 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036
Genesis Healthcare Partners PC
60 mi
Specialist
320 SANTA FE DR STE 108
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 242 clinicians in this Medicare group
NPI 1548567498 (760) 436-4558

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
39 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92869 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 1679955801. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Lisa Moore located?

Lisa Moore practices at 1481 Meads, Orange, CA 92869. The listed phone number is (714) 420-6516.

What is Lisa Moore's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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 4 organizations: San Gabriel Anesthesia Associates, PC (Santa Ana, CA), California Anesthesia Group PC (Fullerton, CA), Southern California Permanente Medical Group (Chino Hills, CA) and Genesis Healthcare Partners PC (Encinitas, CA). 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.

When was this NPI record last updated?

The NPPES record for Lisa Moore was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.