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PATRICK FISCHER NUSBAUM
NPI 1093336364
Counselor - Professional in Saint Cloud, MN

Active since April 28, 2020PECOS Enrolled
108 DOCTORS PARK, SAINT CLOUD, MN 56303(320) 774-3915(320) 774-3918 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Jul 15, 2026 (2 updates tracked since 2026).

About Patrick Fischer Nusbaum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK FISCHER NUSBAUM (NPI 1093336364) is an individual professional provider in Saint Cloud, Minnesota, licensed in Colorado (0023392) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sartell, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093336364
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePATRICK FISCHER NUSBAUM
Location Address108 DOCTORS PARKSaint Cloud, MN 56303-1207
Mailing Address108 Doctors ParkSaint Cloud, MN 56303-1207 · (320) 774-3915 · Fax (320) 774-3918
Phone(320) 774-3915
Fax(320) 774-3918
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 28, 2020
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1093336364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CO · 0023392✔ Licensed in MN · 5064
108 DOCTORS PARK, Saint Cloud, MN 56303
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Secondary Practice Location 1

Location 1205 14th Ave ESartell, MN 56377-4500 · Phone (320) 774-3436 · Fax (320) 774-3440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick Fischer Nusbaum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810457439
PECOS Enrollment IDI20260902004573
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Patrick Nusbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Care Center, LLC
717 mi
Mental Health (Including Community Mental Health Center)
2860 S CIRCLE DR STE 109
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • 400 clinicians in this Medicare group
NPI 1790141984 (719) 540-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REVA OLIVIA RUSH DANIELS
Behavior Technician
108 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-3915
TAYLOR ROSE PAYNE
Behavior Analyst
108 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-3915
MELISSA JUNE GROSSINGER
Behavior Technician
108 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-3915
AINSLEY APEL
Behavior Technician
108 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-3915
HUNTER E THOLKES
Behavior Technician
108 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-3915
MEGHAN OLIVIA SHANNON
Behavior Technician
108 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-3915
SARAH ELIZABETH MCCLANAHAN
Behavior Technician
108 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-3915
BROOKE E CORRIGAN
Behavior Technician
108 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 774-3915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Nusbaum's NPI number?

The NPI number for Patrick Nusbaum is 1093336364. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Patrick Nusbaum located?

Patrick Nusbaum practices at 108 Doctors Park, Saint Cloud, MN 56303. The listed phone number is (320) 774-3915.

What is Patrick Nusbaum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Patrick Nusbaum enrolled in Medicare?

Yes. Patrick Nusbaum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Nusbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Nusbaum reassigns Medicare benefits to Family Care Center, LLC (Colorado Springs, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Nusbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Nusbaum accept?

Health plans from Select Health list Patrick Nusbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patrick Nusbaum was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.