Lisa Jolee Wimmer
Nurse Practitioner, Family in Lake City, MN. Individual provider (NPI-1).
NPI number1134715477
StatusActive
Last updated in NPPESFeb 17, 2021
Details
- NPI
- 1134715477
- Entity type
- Individual (NPI-1)
- Name
- Lisa Jolee Wimmer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2020
- Certification date
- Feb 17, 2021
- Last updated
- Feb 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · 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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7870 | MN | Yes |
Practice location
500 W Grant StLake City, MN 55041-1143
Phone 651-345-3321
Mailing address
31215 Levi PathLake City, MN 55041-3250
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Other Family Nurse Practitioner providers in Lake City, MN
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