Active NPI
Lisa Kae Feese, RN CDE FNP
- Nurse Practitioner
- Edina, MN
National Provider Identifier
1033173620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R1049604
- Practice address
- 7701 York Ave S
Suite 180
Edina, MN 55435-5845 - Phone
- (952) 927-7810
- Fax
- (952) 927-6309
- NPI assigned
- Apr 12, 2006
- Last updated
- May 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R1049604 | MN | Primary |
Addresses
Primary practice location
7701 York Ave S
Suite 180
Edina, MN 55435-5845
Mailing address
7701 York Ave S
Suite 180
Edina, MN 55435-5845
Phone (952) 927-7810
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66D39FE | Other | MN | BLUE CROSS BLUE SHIELD |
| 3300003 | Other | MN | MEDICA PRIMARY |
| 0256006 | Other | MN | SELECT CARE |
| 410999025 | Other | MN | TRICARE |
| HP42395 | Other | MN | HEALTH PARTNERS |
| 743061200 | Medicaid | MN | |
| 0110908 | Other | MN | MEDICA CHOICE |
| 960541020895 | Other | MN | PREFERRED ONE |
Other names 1
- Lisa Kae Hilstad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1049604 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1033173620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7701 YORK AVE S",
"address_2": "SUITE 180",
"city": "EDINA",
"state": "MN",
"postal_code": "554355845",
"telephone_number": "952-927-7810",
"fax_number": "952-927-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 YORK AVE S",
"address_2": "SUITE 180",
"city": "EDINA",
"state": "MN",
"postal_code": "554355845",
"telephone_number": "952-927-7810",
"fax_number": "952-927-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEESE",
"first_name": "LISA",
"middle_name": "KAE",
"credential": "RN CDE FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R1049604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "66D39FE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "3300003",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT CARE",
"identifier": "0256006",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "410999025",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP42395",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "743061200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "0110908",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "960541020895",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "HILSTAD",
"middle_name": "KAE",
"credential": "RN, CDE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.