Individual provider Active NPI

Lisa Marie Moyers

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1881179190
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139021 Issued in TX
Practice address
2202 Ithaca Ave
Lubbock, TX 79410-1332
Phone
(806) 797-1202
Fax
(806) 797-4854
NPI assigned
Oct 2, 2018
Last updated
May 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 AP139021 TX Primary

Addresses

Primary practice location

2202 Ithaca Ave
Lubbock, TX 79410-1332

Mailing address

2202 Ithaca Ave
Lubbock, TX 79410-1332
Phone (806) 797-1202

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmoyers@directaddress.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181213000257 TX Practitioner - Nurse Practitioner 0244575678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of West Texas, LLPGroup PAC ID 7911048632, 8 clinicians

Practice addresses (Care Compare)

419 N Ave F
Denver City, TX 79323-2741
Phone (806) 592-4705

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as individual
Quality
91.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of West Texas, LLP CurrentSince Dec 1, 2018 Accepting new patients
Paulger Dermatology and Skin Cancer Center, PA Past Accepting new patients

Locations

419 N Avenue F
Denver City, TX 79323
Phone (806) 592-4705

2202 Ithaca Ave
Lubbock, TX 79410
Phone (806) 787-1387

2310 Indiana Ave
Lubbock, TX 79410
Phone (806) 795-9777

Interoperability endpoints

  • Direct secure messaging: lmoyers@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1881179190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 ITHACA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101332",
            "telephone_number": "806-797-1202",
            "fax_number": "806-797-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 ITHACA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101332",
            "telephone_number": "806-797-1202",
            "fax_number": "806-797-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYERS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmoyers@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "2202 Ithaca Ave",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794101332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.