LISA RENEE SHIELDS APNP-BC; GNP; MAN;
NPI 1265699698
Nurse Practitioner - Gerontology in Minneapolis, MN

Q: What is Lisa Shields's NPI number?

The NPI number for Lisa Shields is 1265699698. It was assigned to this individual provider in the NPPES registry on May 22, 2008. The provider is also known as Lisa Renee Baner Apnp-Bc; Gnp; Man;.

Q: What is Lisa Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Shields was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 22, 2008PECOS Enrolled

7801 E BUSH LAKE RD STE 400, MINNEAPOLIS, MN 55439(952) 283-3162(866) 991-7241 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lisa Renee Shields Apnp-bc; Gnp; Man; NPPES

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

LISA RENEE SHIELDS APNP-BC; GNP; MAN; (NPI 1265699698) is an individual gerontology provider in Minneapolis, Minnesota, licensed in Minnesota (334) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Menomonie.

NPPES Registry Identity

NPI1265699698

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameLISA RENEE SHIELDSCredential: APNP-BC; GNP; MAN;

Location Address7801 E BUSH LAKE RD STE 400Minneapolis, MN 55439

Mailing Address7801 E Bush Lake Rd Ste 400Minneapolis, MN 55439-3113 · (952) 283-3162 · Fax (866) 991-7241

Phone(952) 283-3162

Fax(866) 991-7241

Sole ProprietorNo

Enumeration DateMay 22, 2008

Last NPPES UpdateOctober 11, 2019

✔ NPI 1265699698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · 334

7801 E BUSH LAKE RD STE 400, Minneapolis, MN 55439

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Other Names 1

Former Name (1)Lisa Renee Baner Apnp-bc; Gnp; Man;

Secondary Practice Location 1

Location 13410 East Schneider Avenue, East Suite 3Menomonie, WI 54751 · Phone (715) 233-3888 · Fax (715) 838-2910

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 Renee Shields Apnp-bc; Gnp; Man; 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 55439 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.

Other Providers at the Same Location NPPES 13

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

ELIZABETH BACHORIK NP

Nurse Practitioner