LISA M MOORMAN (CNP) – Adult Health Nurse Practitioner, NPI 1548225873
Adult Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LISA M MOORMAN (CNP)
2025 Reading Rd
Cincinnati, OH 452021415
Phone: (513) 751-2273
Fax: (513) 751-1621
Type: Location
860 NW Washington Blvd
Hamilton, OH 450136382
Phone: (513) 751-2273
Type: Location
5053, Wooster Road, Linwood, Cincinnati, Hamilton County, Ohio, 45226, United States
CINCINNATI, OH 452262326
Phone: (513) 751-2145
Fax: (513) 751-1848
Type: Mailing
860, Northwest Washington Boulevard, Hamilton, Butler County, Ohio, 45013, United States
HAMILTON, OH 450136382
Phone: (513) 751-2273
Type: Location
3050 MACK RD STE 300
FAIRFIELD, OH 450145376
Phone: (513) 751-2145
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2023-03-18 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharmacyclics LLC, an AbbVie Company | $26 |
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: 2003-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031107000164 | I | Nurse Practitioner | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology/Oncology, Internal Medicine | OH | |
| - | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| Medical Oncology, Hematology, Internal Medicine | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Radiation Oncology | OH | |
| Medical Oncology, Hematology/Oncology, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | AR |
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