Nurse Practitioner, Pediatrics
LISA MOELLERING RN, CPNP-PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1992166490 · enumerated 2016-03-10 · record updated 2025-04-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3919 W JEFFERSON BLVD, FORT WAYNE, IN, 46804-6811 (260) 436-7722 Fax (260) 459-0012 Google Maps Apple Maps OpenStreetMap
- Practice location 3919 W JEFFERSON BLVD, FORT WAYNE, IN, 46804-6811 (832) 482-8518 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 28144452A IN
In this directory
Locations and evidence
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Practice location
FORT WAYNE, IN, 468046811
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.