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

Q: 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.

Q: What is Lisa Wimmer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Wimmer was last updated on February 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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 Medica, Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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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