Lisa Renee Shields, APNP-BC; GNP; MAN;

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

334 Issued in MN

Practice address

7801 E Bush Lake Rd Ste 400
Minneapolis, MN 55439

Phone

(952) 283-3162

Fax

(866) 991-7241

NPI assigned

May 22, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lisa Renee Baner Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hometown Physician Services MD, S.C.

  • Family Medicine Physician
  • Woodville, WI
  • NPI 1558832055
  Medicare reassignment NPD
• Westfields Hospital, Inc.

  • Critical Access Hospital
  • New Richmond, WI
  • NPI 1881640183
  Medicare reassignment NPD
• LTC Professionals, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Minneapolis, MN
  • NPI 1689559312
  NPD
• St. Croix Valley Shared Services, Inc.

  • Community Based Hospice Care Agency
  • Baldwin, WI
  • NPI 1578774014
  NPD
• St. Croix Valley Shared Services, Inc.

  • Home Health Agency
  • Baldwin, WI
  • NPI 1689679094
  NPD
• Westfields Hospital, Inc

  • Hematology & Oncology Physician
  • Osceola, WI
  • NPI 1477228070
  NPD
• Westfields Hospital, Inc.

  • Nurse Practitioner
  • New Richmond, WI
  • NPI 1205166998
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1265699698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393113",
            "telephone_number": "952-283-3162",
            "fax_number": "866-991-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 E BUSH LAKE RD STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "952-283-3162",
            "fax_number": "866-991-7241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 East Schneider Avenue",
            "address_2": "East Suite 3",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "54751",
            "country_code": "US",
            "telephone_number": "715-233-3888",
            "fax_number": "715-838-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "APNP-BC; GNP; MAN;",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BANER",
            "middle_name": "RENEE",
            "credential": "APNP-BC; GNP; MAN;",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon L Shevock-Johnson, MD
• Seare Shibeshi
• Daniel Shibru, MD
• Jessica Sleck Shields, SLP
• June J Shields, DNP, APRN, PMHNP-BC
• Mollie Anne Shields, LGSW
• Hannah Danielle Shier
• Shifa Home Healthcare, Inc.
• Shifa Medical Clinic
• Shifa Pharmacy LLC

• Gerontology Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.