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

Lisa Moment

Individual provider Family Nurse Practitioner · NPI 1205250859

Lisa Moment is a Nurse Practitioner in Champaign, Illinois. Qualified in 2012, 14 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2014
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Practice location Address checks out

1701 Curtis Rd
Champaign, IL 61822-9678
Phone: (217) 365-6201
Fax: (217) 326-4003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.011117 (IL)

Record details

NPI number1205250859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2014
Last updated in NPPESFebruary 28, 2014
Mailing address611 W Park St, Bwpc, Urbana, IL 61801-2500

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Champaign