Lisa N Von Wald, AGPCNP-BC - Medicare Nurse Practitioner in Minneapolis, MN

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Lisa N Von Wald, AGPCNP-BC is a medicare enrolled "Nurse Practitioner" in Minneapolis, Minnesota. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairview Express Care, Range Regional Health Services, Grand Itasca Clinic And Hospital and her current practice location is 500 Harvard St Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 273-3000.

Lisa N Von Wald is licensed to practice in Minnesota (license number 2013006750) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093147142.

Contact Information

Lisa N Von Wald, AGPCNP-BC
500 Harvard St Se,
Minneapolis, MN 55455-0363
(612) 273-3000
Not Available

Map and Direction




Provider's Profile

Full NameLisa N Von Wald
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location500 Harvard St Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa N Von Wald graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1093147142
  • Provider Enumeration Date: 07/31/2013
  • Last Update Date: 08/08/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1759516503
  • Enrollment ID: I20131101000878

Medical Identifiers

Medical identifiers for Lisa N Von Wald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093147142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R179726-0 (Minnesota)Secondary
363L00000XNurse Practitioner 2013006750 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital
Grand Itasca Clinic And HospitalGrand rapids, MNHospital
University Medical Center-mesabi/ Mesaba ClinicsHibbing, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791733
Range Regional Health Services8022920024255
Grand Itasca Clinic And Hospital8123939550263

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa N Von Wald allows following entities to bill medicare on her behalf.
Entity NameGrand Itasca Clinic And Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669426631
PECOS PAC ID: 8123939550
Enrollment ID: O20031105000209
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameRange Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa N Von Wald is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa N Von Wald, AGPCNP-BC
500 Harvard St Se,
Minneapolis, MN 55455-0363

Ph: (612) 273-3000		Lisa N Von Wald, AGPCNP-BC
500 Harvard St Se,
Minneapolis, MN 55455-0363

Ph: (612) 273-3000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.