Individual provider Active NPI

Lisa Lynn Maher, ARNP

  • Family Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1003054305
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A114046 Issued in IA
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

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
421417307-UZOtherIAUHC/RIVER VALLEY/JD
P00704358 (PTAN)OtherIARR MEDICARE
1003054305OtherIAWELLMARK BCBS
1003054305MedicaidIA

Other names 1

  • Lisa Lynn Moeller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000354 IA Practitioner - Nurse Practitioner 0648337634 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Jun 8, 2022 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Jan 1, 2026 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

  • Direct secure messaging: lmaher69679@direct.emplifyhealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.