DR. LISA MARIE BRANDT
NPI 1629615570
Nurse Practitioner in Milwaukee, WI

Q: What is Lisa Brandt's NPI number?

The NPI number for Lisa Brandt is 1629615570. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Q: What is Lisa Brandt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Brandt was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 10, 2019PECOS Enrolled

2801 W KINNICKINNIC RIVER PKWY STE 680, MILWAUKEE, WI 53215(414) 385-1922(414) 385-1899 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2021, Dec 10, 2019 (2 updates tracked since 2019).

On this page

About Dr. Lisa Marie Brandt NPPES

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

DR. LISA MARIE BRANDT (NPI 1629615570) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (9591-33) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629615570

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. LISA MARIE BRANDT

Location Address2801 W KINNICKINNIC RIVER PKWY STE 680Milwaukee, WI 53215-3633

Mailing Address12860 Pinewood RdBrookfield, WI 53005-3843 · (414) 243-6991

Phone(414) 385-1922

Fax(414) 385-1899

Sole ProprietorNo

Enumeration DateDecember 10, 2019

Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration

NPPES CertifiedNovember 24, 2021

✔ NPI 1629615570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 9591-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2801 W KINNICKINNIC RIVER PKWY STE 680, Milwaukee, WI 53215

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Marie Brandt 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 Reassignment

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

Badger Hospice, LLC

9.4 mi

Hospice Care, Community Based

165 S CALHOUN RD
Brookfield, WI 53005

Reassigned Medicare billing, Wisconsin enrollment
3 clinicians in this Medicare group

NPI 1013453505 (262) 777-0390

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 53215 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

SUDEEPTA DANDAPAT MD

Psychiatry & Neurology (Neurology)