NPIMap

Individual provider Active NPI

Lisa Marie Aenlle, MD, MPH

  • Neurology Physician
  • Naples, FL
National Provider Identifier
1497919443
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME116754 Issued in FL
Practice address
1660 Medical Blvd Ste 200
Naples, FL 34110-1416
Phone
(239) 566-3434
Fax
(877) 812-5411
NPI assigned
Jul 17, 2008
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME116754 FL Primary

Addresses

Primary practice location

1660 Medical Blvd Ste 200
Naples, FL 34110-1416

Mailing address

3451 Pine Ridge Rd BLDG 601
Naples, FL 34109-3922
Phone (239) 449-3072

Other names 1

  • Dr. Lisa Marie Aenlle-Matusz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130920000131 FL Practitioner - Neurology 5991949539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Human Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 566-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME116754FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL CurrentSince Oct 1, 2013 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Oct 1, 2013 Accepting new patients
Neuroscience and Spine Associates Current Accepting new patients
Neuroscience and Spine Associates PL Past Accepting new patients

Locations

1250 Pine Ridge Rd
Ste 202
Naples, FL 34108
Phone (239) 325-1135

1660 Medical Blvd
Ste 200
Naples, FL 34110
Phone (239) 566-3434

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

Interoperability endpoints

  • Direct secure messaging: lisamarieaenlle@nsapl.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1497919443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PINE RIDGE RD BLDG 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093922",
            "telephone_number": "239-449-3072",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 MEDICAL BLVD STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101416",
            "telephone_number": "239-566-3434",
            "fax_number": "877-812-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AENLLE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME116754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "AENLLE-MATUSZ",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.