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

Lisa Rose Moen, APRN-CNP

Individual provider Nurse Practitioner · NPI 1982955159

Lisa Rose Moen, APRN-CNP is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
14
Licensed in
ND
In the registry since
2012

Practice location Address checks out

2101 Elm St N
Fargo, ND 58102
Phone: (701) 232-3241
Fax: (701) 237-2637
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R34505 (ND)

Record details

NPI number1982955159
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedSeptember 27, 2012
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address2101 Elm St N, Fargo, ND 58102

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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