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MRS. LISA S MOORE ARNP, DNP
NPI 1730240326
Nurse Practitioner - Family in Destin, FL

Active since December 13, 2006PECOS Enrolled
4476 LEGENDARY DR STE 100, DESTIN, FL 32541(850) 424-7320(850) 424-7322 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2026, Mar 5, 2025, Jun 7, 2024 and 1 more (4 updates tracked since 2021).

About Mrs. Lisa S Moore Arnp, Dnp NPPES

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

MRS. LISA S MOORE ARNP, DNP (NPI 1730240326) is an individual family provider in Destin, Florida, licensed in Florida (ARNP9166216) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730240326
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA S MOORECredential: ARNP, DNP
Location Address4476 LEGENDARY DR STE 100Destin, FL 32541-5347
Mailing Address4476 Legendary Dr Ste 100Destin, FL 32541-5347 · (850) 424-7320 · Fax (850) 424-7322
Phone(850) 424-7320
Fax(850) 424-7322
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 2, 20264 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1730240326 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
License✔ Licensed in FL · ARNP9166216
4476 LEGENDARY DR STE 100, Destin, FL 32541
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa S Moore Arnp, Dnp 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 32541 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 3

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

KARA MADONNA HYMAN APRN
Nurse Practitioner (Family)
4476 LEGENDARY DR STE 100
DESTIN, FL 32541
Okaloosa County (850) 424-7320
NITIN BAWA, PA
Internal Medicine
4476 LEGENDARY DR STE 100
DESTIN, FL 32541
Okaloosa County (850) 424-7320
DR. NITIN BAWA M.D.
Internal Medicine
4476 LEGENDARY DR STE 100
DESTIN, FL 32541
Okaloosa County (850) 424-7320

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 1730240326. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Lisa Moore located?

Lisa Moore practices at 4476 Legendary Dr Ste 100, Destin, FL 32541. The listed phone number is (850) 424-7320.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Moore was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.