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

Mrs. Lisa Marcella Moore, CNP

Individual provider Family Nurse Practitioner · NPI 1336643410

Mrs. Lisa Marcella Moore, CNP is a Nurse Practitioner in Winchester, Indiana. Graduated from University of Cincinnati College of Medicine in 2017, 9 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
9
Trained at
University of Cincinnati College of Medicine
Licensed in
IN, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

409 SE Greenville Ave
Winchester, IN 47394-9464
Phone: (765) 584-0480
Show map & directions

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

Additional practice locations (1)

  • 500 W. Votaw Street, Portland, IN 47371 — (270) 726-4350

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71008271A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.022576 (OH)

Record details

NPI number1336643410
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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