Active NPI
Lisa Lynn Maher, ARNP
- Family Nurse Practitioner
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A114046
- Practice address
- 419 East Donald Street
Waterloo, IA 50703-1223 - Phone
- (319) 236-1911
- Fax
- (319) 287-5832
- NPI assigned
- Jan 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A114046 | IA | Primary |
Addresses
Primary practice location
419 East Donald Street
Waterloo, IA 50703-1223
Mailing address
419 E Donald St
Waterloo, IA 50703-1500
Phone (319) 236-1911
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421417307-UZ | Other | IA | UHC/RIVER VALLEY/JD |
| P00704358 (PTAN) | Other | IA | RR MEDICARE |
| 1003054305 | Other | IA | WELLMARK BCBS |
| 1003054305 | Medicaid | IA |
Other names 1
- Lisa Lynn Moeller
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmaher36519@direct.unitypoint.org | Direct | Allen Memorial Hospital Corporation |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| Palmer Lutheran Health Center, Inc. | Current | Accepting new patients | |
| Palmer Lutheran Health Center, Inc. | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081
1600 1st St E
Independence, IA 50644
Phone (319) 332-0999
2405 Rock Island Rd
Oelwein, IA 50662
Phone (319) 283-2651
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
419 E Donald St
Waterloo, IA 50703
Phone (319) 888-7604
2413 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 233-0340
1243 4th St SW
Waverly, IA 50677
312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120
112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811
Networks
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Interoperability endpoints
- lmaher69679@direct.emplifyhealth.org
- lmaher36519@direct.unitypoint.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
-
- Critical Access Hospital
- West Union, IA
- NPI 1598765398
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
-
- Critical Access Hospital
- West Union, IA
- NPI 1891744108
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- Critical Access Hospital
- Grundy Center, IA
- NPI 1821055989
-
- Critical Access Hospital
- West Union, IA
- NPI 1598765398
-
- Critical Access Hospital
- Sumner, IA
- NPI 1780684548
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1003054305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 E DONALD ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031500",
"telephone_number": "319-236-1911",
"fax_number": "319-287-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 EAST DONALD STREET",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031223",
"telephone_number": "319-236-1911",
"fax_number": "319-287-5832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "LISA",
"middle_name": "LYNN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-26",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A114046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/RIVER VALLEY/JD",
"identifier": "421417307-UZ",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00704358 (PTAN)",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "1003054305",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003054305",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmaher36519@direct.unitypoint.org",
"affiliation": "Y",
"endpointDescription": "UnityPoint",
"affiliationName": "Allen Memorial Hospital Corporation",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1825 Logan Ave",
"city": "Waterloo",
"state": "IA",
"country_code": "US",
"postal_code": "507031916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LISA",
"last_name": "MOELLER",
"middle_name": "LYNN",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.