| Lisa Renee Shields, APNP-BC; GNP; MAN; | |
|
7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | |
| (952) 283-3162 | |
| (866) 991-7241 |
| Full Name | Lisa Renee Shields |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 7801 E Bush Lake Rd Ste 400, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265699698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 334 (Minnesota) | Primary |
| Entity Name | Westfields Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350 |
| Entity Name | Hometown Physician Services Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558832055 PECOS PAC ID: 3577802859 Enrollment ID: O20190304002167 |
| Entity Name | St Croix Valley Shared Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578774014 PECOS PAC ID: 0244211258 Enrollment ID: O20210510001789 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Renee Shields, APNP-BC; GNP; MAN; 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 Ph: (952) 283-3162 | Lisa Renee Shields, APNP-BC; GNP; MAN; 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 Ph: (952) 283-3162 |
Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101 | |
Deborah Elkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-225-1534 | |
Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102 | |
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110 | |
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330 | |
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000 | |
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792 |