Individual provider Active NPI

Lisa M Renard Paule, NP

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1366401143
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP825 Issued in MN
Practice address
401 Harding St NE Ste 100
Minneapolis, MN 55413-2801
Phone
(651) 571-0000
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X CNP825 MN
Family Nurse Practitioner 363LF0000X CNP825 MN Primary

Addresses

Primary practice location

401 Harding St NE Ste 100
Minneapolis, MN 55413-2801

Mailing address

401 Harding St NE Ste 100
Minneapolis, MN 55413-2801
Phone (651) 571-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113001168 MN Practitioner - Nurse Practitioner 6709075260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP825MNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Arizona CurrentSince Dec 14, 2023 Accepting new patients
Lifespark Medical Group, PA Family CurrentSince Sep 26, 2022 Accepting new patients
Dispatchhealth-Arizona CurrentSince Dec 14, 2023 Accepting new patients

Locations

755 Cliff Rd E
Burnsville, MN 55337
Phone (303) 505-1518

5320 W 23rd St
Ste 130
St Louis Park, MN 55416
Phone (952) 345-3213

Interoperability endpoints

  • Direct secure messaging: lisa.renard.paule.1@31026.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1366401143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HARDING ST NE STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132801",
            "telephone_number": "651-571-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HARDING ST NE STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132801",
            "telephone_number": "651-571-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENARD PAULE",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "CNP825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.