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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Jun 2, 2026, Mar 5, 2025 and 2 more (5 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 UpdateSeptember 16, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 16, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nitin Bawa, PA
Same address
Internal Medicine
4476 LEGENDARY DR STE 100
Destin, FL 32541
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1588846257 (850) 424-7320

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 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.

Which organization bills Medicare for Lisa Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Moore reassigns Medicare benefits to Nitin Bawa, PA (Destin, FL). The 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 UnitedHealthcare 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 September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.