LISA MOELLERING RN, CPNP-PC
NPI 1992166490
Nurse Practitioner - Pediatrics in Fort Wayne, IN

Active since March 10, 2016
3919 W JEFFERSON BLVD, FORT WAYNE, IN 46804(832) 482-8518 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Moellering Rn, Cpnp-pc NPPES

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

LISA MOELLERING RN, CPNP-PC (NPI 1992166490) is an individual pediatrics provider in Fort Wayne, Indiana, licensed in Indiana (28144452A) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1992166490
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLISA MOELLERINGCredential: RN, CPNP-PC
Location Address3919 W JEFFERSON BLVDFort Wayne, IN 46804-6811
Mailing Address3919 W Jefferson BlvdFort Wayne, IN 46804-6811 · (260) 436-7722 · Fax (260) 459-0012
Sole ProprietorNo
Enumeration DateMarch 10, 2016
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 10, 2025
NPI 1992166490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in IN · 28144452A
3919 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Identifiers 1

Medicaid1275546913IN

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
3919 W JEFFERSON BLVD, SUITE 1
FORT WAYNE, IN 46804
Specialist
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Internal Medicine
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Clinic/Center (Urgent Care)
3919 W JEFFERSON BLVD, SUITE 2
FORT WAYNE, IN 46804
Physician Assistant
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Nurse Practitioner (Pediatrics)
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804

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 Moellering's NPI number?

The NPI number for Lisa Moellering is 1992166490. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Where is Lisa Moellering located?

Lisa Moellering practices at 3919 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (832) 482-8518.

What is Lisa Moellering's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Lisa Moellering accept?

Health plans from CareSource list Lisa Moellering 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 Moellering was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.