Lisa Marie Ertman – Primary Care Nurse Practitioner

Key facts

NPI: 1508573288
Entity type: Individual (NPI type 1)
Primary specialty: Primary Care Nurse Practitioner 363LP2300X
License: 9378 (MN)
Practice address: 410 Downtown PLZ
Fairmont, MN 56031-1714
Phone: (507) 399-2100
NPI assigned: Nov 1, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Cornerstone Clinic , PSC Primary Care Clinic/Center · Fairmont, MN · NPI 1801575725

Medicare reassignment Care Compare group NPD MN

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Mayo Clinic Health System-Fairmont General Acute Care Hospital · Fairmont, MN · NPI 1821066499

Care Compare affiliation Hospital
United Hospital District Inc. Critical Access Hospital · Blue Earth, MN · NPI 1952307688

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Cornerstone Clinic, PSC (5 clinicians)

Practice addresses (Care Compare)

410 Downtown PLZ
Fairmont, MN 56031-1714
Phone (641) 295-9855

Hospital & facility affiliations

Mayo Clinic Health System - Fairmont Hospital · Fairmont, MN · CCN 240166
United Hospital District Hospital · Blue Earth, MN · CCN 241369

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20221213000785	MN	Practitioner - Nurse Practitioner	5395114409	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Nurse Practitioner, Nurse Practitioner

State licenses

License	State	Type	Specialty
9378	MN	MD	Doula

Practice roles

Organization	Specialty	Status	New patients
Cornerstone Clinic , PSC		Current since Mar 1, 2024	Accepting new patients

Locations

410 Downtown Plz
Fairmont, MN 56031
Phone (507) 399-2100

Interoperability endpoints

Direct secure messaging: cornerstoneclinic.lisaertman@157537.advancedmd-direct.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Nurse Practitioner	363LP2300X	9378	MN	Yes

Addresses

Primary practice location

410 Downtown PLZ
Fairmont, MN 56031-1714

Mailing address

410 Downtown PLZ
Fairmont, MN 56031-1714
Phone (507) 399-2100

Other providers in Fairmont, MN

Jae Eccher, DPT
Robin Ekstrom, PA-C
Jon T Erickson, D.D.S.
Sarah Erickson, PHARMD
Bartlett Eriksen, M.D.
Luke K Espelund, MD
Eunoia Family Resource Center PA
Alisa Sarah Eytcheson, NP-C
Fairmont Chiropractic & Acupuncture Healthcare, LTD
Fairmont Dental Professionals LLC

All providers in Fairmont, MN · Primary Care Nurse Practitioner in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.