Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa M Moore, PA-C

Individual provider Surgical Physician Assistant · NPI 1659456630

Lisa M Moore, PA-C is a Physician Assistant in Auburn, Maine. Qualified in 1996, 30 years ago. Practices with Central Maine Medical Center, a 347-clinician group and accepts Medicare assignment. Licensed in Florida, Massachusetts and Maine.

Years since qualifying
30
Licensed in
FL, MA, ME
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

690 Minot Ave Ste 1
Auburn, ME 04210-3922
Phone: (207) 783-1328
Fax: (207) 786-4332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1497 (ME)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 800 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 9108417 (FL)

Record details

NPI number1659456630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Central Maine Medical Center — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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