LISA M MORAVAC (PA-C) – Physician Assistant, NPI 1003997925

LISA M MORAVAC (PA-C) is a healthcare provider. based in Independence, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2005022710 (MO). The NPI Number for LISA M MORAVAC (PA-C) is 1003997925

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LISA M MORAVAC (PA-C)
NPI
1003997925
Phone
(816) 836-6901
Address
1509 W Truman Rd
Enumeration Date
18 October 2006
Last Update Date
3 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8163661197
Graduation Year
2005 (21 years ago)
PAC ID
1850325952
Group Practice PAC ID
8527340702
Professional Enrollment ID
I20050919000624
Address ID
MO640822327LE3509XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for LISA M MORAVAC (PA-C)

  • 1509 W Truman Rd

    Independence, MO 640503436

    Phone: (816) 836-6901

    Fax: (816) 836-4460

    Type: Location

  • 8929 PARALLEL PKWY

    KANSAS CITY, KS 661121689

    Phone: (913) 596-4000

    Type: Location

  • PO BOX 838

    SHAWNEE MISSION, KS 662010838

    Phone: (913) 469-4244

    Fax: (913) 469-1939

    Type: Mailing

  • 1509, West Truman Road, Independence, Jackson County, Missouri, 64050, United States

    INDEPENDENCE, MO 640503436

    Phone: (816) 836-6901

    Fax: (816) 836-4460

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050919000624IPhysician AssistantMOTBD
I20111019000943IPhysician AssistantKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9992$0
99203New patient office or other outpatient visit, 30-44 minutes8383$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
99214Established patient office or other outpatient visit, 30-39 minutes2626$0
81003Automated urinalysis test2424$0
View full utilization report →

Insurance plans in this area (ZIP 64050)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527340702View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
Family PracticeKS
-MO
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Family PracticeMO

Reviews

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Frequently asked questions

How is LISA M MORAVAC (PA-C) identified in CMS data?
CMS-hosted NPPES data lists LISA M MORAVAC (PA-C) with NPI 1003997925.
Is LISA M MORAVAC (PA-C) still practicing?
LISA M MORAVAC (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes LISA M MORAVAC (PA-C)?
For research purposes, treat LISA M MORAVAC (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does LISA M MORAVAC (PA-C) serve?
LISA M MORAVAC (PA-C)'s listing highlights Independence, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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