LISA VANWATERMULEN RN, NP
NPI 1740308527
Nurse Practitioner - Family in Mankato, MN
About Lisa Vanwatermulen Rn, Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA VANWATERMULEN RN, NP (NPI 1740308527) is an individual family provider in Mankato, Minnesota, licensed in Minnesota (R145777-5) and active in the NPI registry since March 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Lisa Vanwatermulen Rn, Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MANKATO, MN 56001
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 Vanwatermulen's NPI number?
The NPI number for Lisa Vanwatermulen is 1740308527. It was assigned to this individual provider in the NPPES registry on March 27, 2007.
Where is Lisa Vanwatermulen located?
Lisa Vanwatermulen practices at 1230 E Main St, Mankato, MN 56001. The listed phone number is (507) 625-1811.
What is Lisa Vanwatermulen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Vanwatermulen enrolled in Medicare?
No. Lisa Vanwatermulen has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Lisa Vanwatermulen was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Lisa Vanwatermulen, RN, NP · NPI 1740308527
Family physician in Mankato, Minnesota. Individual provider, active in the CMS NPPES registry since March 27, 2007.
## Identity
- **NPI:** 1740308527 (Entity type: Individual)
- **Enumerated:** March 27, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R145777-5 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1230 E MAIN ST, Mankato, MN 56001-5066
- **Phone:** (507) 625-1811
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 28, 2011
- **Other identifiers:** Medicare PIN 500004282 (MN); Medicaid 308637300 (MN); Other P00602861 (MN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1740308527) · Data from the CMS NPPES public registry.