Active NPI
Lisa Bratsch-Montag, WHCNP
- Women's Health Nurse Practitioner
- Mankato, MN
National Provider Identifier
1063482941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R1203880
- Practice address
- 310 Belle Ave
Mankato, MN 56001-5287 - Phone
- (507) 387-5581
- NPI assigned
- Jan 24, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R1203880 | MN | Primary |
Addresses
Primary practice location
310 Belle Ave
Mankato, MN 56001-5287
Mailing address
1517 Squirrels Nest Rd
Kasota, MN 56050-9614
Phone (507) 243-4193
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28381 | Other | SIOUX VALLEY HEALTH PLAN | |
| 124880 | Other | UCARE | |
| HP26547 | Other | HEALTH PARTNERS | |
| 07-00864 | Other | MEDICA | |
| 240596200 | Medicaid | MN | |
| 1022664 | Other | PREFERRED ONE | |
| 1067918 | Other | AMERICA'S PPO (ARAZ) | |
| 68G15CL | Other | MN | BCBS MN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1203880 | MN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1063482941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 SQUIRRELS NEST RD",
"city": "KASOTA",
"state": "MN",
"postal_code": "560509614",
"telephone_number": "507-243-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 BELLE AVE",
"city": "MANKATO",
"state": "MN",
"postal_code": "560015287",
"telephone_number": "507-387-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRATSCH-MONTAG",
"first_name": "LISA",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "R1203880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLAN",
"identifier": "28381",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "124880",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP26547",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "07-00864",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240596200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1022664",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO (ARAZ)",
"identifier": "1067918",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "68G15CL",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.