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LISA JOLEE WIMMER
NPI 1134715477
Nurse Practitioner - Family in Lake City, MN

Active since December 20, 2020PECOS Enrolled
500 W GRANT ST, LAKE CITY, MN 55041(651) 345-3321 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2021, Dec 20, 2020 (2 updates tracked since 2020).

About Lisa Jolee Wimmer NPPES

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

LISA JOLEE WIMMER (NPI 1134715477) is an individual family provider in Lake City, Minnesota, licensed in Minnesota (7870) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134715477
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA JOLEE WIMMER
Location Address500 W GRANT STLake City, MN 55041-1143
Mailing Address31215 Levi PathLake City, MN 55041-3250
Phone(651) 345-3321
Sole ProprietorNo
Enumeration DateDecember 20, 2020
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1134715477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 7870
500 W GRANT ST, Lake City, MN 55041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Jolee Wimmer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Lisa Wimmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Lake City
Same address
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321
Mayo Clinic Health System-Southeast Minnesota Region
13 mi
Multi-Specialty
701 HEWITT BLVD
Red Wing, MN 55066
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,571 clinicians in this Medicare group
NPI 1114453883 (651) 267-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$91.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DENNIS CHARLES SPANO M.D.
Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
DR. RANDY M FOSS MD
Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
BRANDON CHARLES VOTH DPT
Physical Therapist (Orthopedic)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
REBEKAH RICHTER DPT
Physical Therapist
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-1129
KATHERINE LILLIE LOFBERG FNP-C
Nurse Practitioner
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
MAYO CLINIC HEALTH SYSTEM-LAKE CITY
Clinic/Center (Multi-Specialty)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
DEBORAH JANE ANDERSON ANP,C
Nurse Practitioner (Adult Health)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
PATRICIA ELENA SERVIN-HUGHES CNP
Nurse Practitioner
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321

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 Lisa Wimmer's NPI number?

The NPI number for Lisa Wimmer is 1134715477. It was assigned to this individual provider in the NPPES registry on December 20, 2020.

Where is Lisa Wimmer located?

Lisa Wimmer practices at 500 W Grant St, Lake City, MN 55041. The listed phone number is (651) 345-3321.

What is Lisa Wimmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Wimmer enrolled in Medicare?

Yes. Lisa Wimmer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Wimmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wimmer reassigns Medicare benefits to 2 organizations: Mayo Clinic Health System-Lake City (Lake City, MN) and Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN). Each 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 Lisa Wimmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Wimmer accept?

Health plans from Anthem Blue Cross and Blue Shield, Sanford Health Plan and Security Health Plan list Lisa Wimmer 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 Lisa Wimmer was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.