Patrick Fischer Nusbaum
Counselor, Professional in Saint Cloud, MN. Individual provider (NPI-1).
Details
- NPI
- 1093336364
- Entity type
- Individual (NPI-1)
- Name
- Patrick Fischer Nusbaum
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2020
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0023392 | CO | Yes |
| 101YP2500X | Counselor, Professional | 5064 | MN |
Practice location
108 Doctors ParkSaint Cloud, MN 56303-1207
Phone 320-774-3915 · Fax 320-774-3918
Mailing address
108 Doctors ParkSaint Cloud, MN 56303-1207
Phone 320-774-3915 · Fax 320-774-3918
Other practice locations
Sartell, MN 56377-4500
Phone 320-774-3436 · Fax 320-774-3440
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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