Individual provider Active NPI

Lisa Linn Moenning, PA-C PA-C

  • Physician Assistant
  • Iowa City, IA
National Provider Identifier
1972586121
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001221 Issued in IA
Practice address
200 Hawkins Drive
1008 RCP
Iowa City, IA 52242
Phone
(319) 353-6360
Fax
(319) 353-7006
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1862 CO
Physician Assistant 363A00000X 001221 IA Primary

Addresses

Primary practice location

200 Hawkins Drive
1008 RCP
Iowa City, IA 52242

Mailing address

200 Hawkins Drive
1008 RCP
Iowa City, IA 52242
Phone (319) 353-6360

Other identifiers 1

IdentifierTypeStateIssuer
02392OtherIAWELLMARK BCBS

Other names 1

  • Lisa Linn Parry Former name

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
I20061128000188 IA Practitioner - Physician Assistant 9537151675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001221IAMDAthletic Trainer
1862COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Linn County Emergency Medicine PC Past Accepting new patients
Iowa Physicians Clinic Medical Foundation Past Accepting new patients
Big Thompson Medical Group Inc Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lmoenning1307@uihcdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1972586121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DRIVE",
            "address_2": "1008 RCP",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-353-6360",
            "fax_number": "319-353-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DRIVE",
            "address_2": "1008 RCP",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-353-6360",
            "fax_number": "319-353-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOENNING",
        "first_name": "LISA",
        "middle_name": "LINN",
        "name_prefix": "Mrs.",
        "credential": "PA-C PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1862",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "02392",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PARRY",
            "middle_name": "LINN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.