1. Home
  2. Directory
  3. Minnesota
  4. Saint Cloud
  5. Nurse Practitioner
  6. NPI Profile

MS. LISA RAE HENNEN APRN, CNP
NPI 1588644454
Nurse Practitioner - Family in Saint Cloud, MN

Active since January 18, 2006PECOS Enrolled
720 4TH AVE S, SAINT CLOUD, MN 56301(320) 308-3191(320) 308-3192 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 16, 2024, Nov 2, 2020 (2 updates tracked since 2020).

About Ms. Lisa Rae Hennen Aprn, Cnp NPPES

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

MS. LISA RAE HENNEN APRN, CNP (NPI 1588644454) is an individual family provider in Saint Cloud, Minnesota, licensed in Minnesota (2121) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588644454
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LISA RAE HENNENCredential: APRN, CNP
Location Address720 4TH AVE SSaint Cloud, MN 56301-4498
Mailing Address720 4th Ave SSaint Cloud, MN 56301-4442 · (320) 308-3191 · Fax (320) 308-3192
Phone(320) 308-3191
Fax(320) 308-3192
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1588644454 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 · 2121
720 4TH AVE S, Saint Cloud, MN 56301
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1610 30th Avenue West, Alexandria ClinicAlexandria, MN 56308 · Phone (320) 763-5123 · Fax (320) 763-7883
Location 213060 Isle DrBaxter, MN 56425-8331 · Phone (218) 828-2880

Other Identifiers 2

Medicaid862953600MN
OtherP00221874MN · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Ms. Lisa Rae Hennen Aprn, Cnp 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 56301 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 15

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

DR. MICHELE R TRAUB PHD, BCBA-D
Behavior Analyst
720 4TH AVE S
SAINT CLOUD, MN 56301
Stearns County (320) 308-2043
DR. BRENT NIELSEN MD
Family Medicine
720 4TH AVE S
SAINT CLOUD, MN 56301
Stearns County (320) 308-3191
DR. HOLLY KRISTINE LEVINE MD
Family Medicine
720 4TH AVE S, STUDENT HEALTH SERVICE
SAINT CLOUD, MN 56301
Stearns County (320) 308-4856
NICOLETTE SCHAEFGES
Specialist/Technologist (Athletic Trainer)
720 4TH AVE S
SAINT CLOUD, MN 56301
Stearns County (608) 785-8000
KRISTINA M GROSS RN, CNP
Nurse Practitioner (Family)
720 4TH AVE S
SAINT CLOUD, MN 56301
Stearns County (320) 308-3193
MR. JEFFREY TODD JOHNSON ATC
Specialist/Technologist (Athletic Trainer)
720 4TH AVE S, 214 HALENBECK HALL
SAINT CLOUD, MN 56301
Stearns County (320) 308-2503
MS. JENNIFER KAY ROCHELEAU DORHOLT PSYD, LP
Psychologist (Clinical)
720 4TH AVE S
SAINT CLOUD, MN 56301
Stearns County (320) 308-3171
MARY HELEN ANDREOTTI RN CNP
Nurse Practitioner (Adult Health)
720 4TH AVE S
SAINT CLOUD, MN 56301
Stearns County (320) 308-3191

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 Hennen's NPI number?

The NPI number for Lisa Hennen is 1588644454. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Lisa Hennen located?

Lisa Hennen practices at 720 4th Ave S, Saint Cloud, MN 56301. The listed phone number is (320) 308-3191.

What is Lisa Hennen's specialty?

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

Is Lisa Hennen enrolled in Medicare?

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

What insurance does Lisa Hennen accept?

Health plans from Medica list Lisa Hennen 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 Hennen was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.