Lisa A Harmon, MD
Individual provider Active NPI Family Medicine Physician · Park Rapids, MN
NPI 1528086170 · NPPES record last updated Sep 28, 2018
Key facts
- NPI
- 1528086170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 37745 (MN)
- Practice address
- 705 Pleasant Ave S
Park Rapids, MN 56470-1440 - Phone
- (218) 732-2800
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Regional Health Center
Practice addresses (Care Compare)
110 Michigan Ave W
Walker, MN 56484-2274
Phone (218) 547-6900
212 Aspen Ave NE
Menahga, MN 56464-3289
Phone (218) 564-4131
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Phone (218) 732-2800
Hospital & facility affiliations
- Vivie Home Health
- Sanford Bemidji Home Care and Hospice
- St. Joseph'S Hospice
- Essentia Health St Marys - Detroit Lakes
- Essentia Health
- St Josephs Area Health Services
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110112000900 | MN | Practitioner - Family Practice | 0143419705 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Regional Health Center | Current |
Accepting new patients | |
| St. Mary'S Regional Health Center | Family Medicine | Current |
Accepting new patients |
| St. Marys Regional Health Center | Current | Accepting new patients | |
| Green Pine Acres Nursing Home | Past | Accepting new patients | |
| St Marys Regional Health Center | Past | Accepting new patients |
Locations
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133
1103 1st St E
Park Rapids, MN 56470
Phone (218) 732-0542
705 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-2800
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0058653 | CO | |
| Family Medicine Physician | 207Q00000X | 37745 | MN | Yes |
Addresses
Primary practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000155662 | Medicaid | CO |
Other providers in Park Rapids, MN
- Donald J Gytri
- Anthony Hacker
- Dyneen L Hafics
- Leah Hall
- Christina Halse
- Rose A Haroldson
- Nathan Phillip Harris
- Healthy Returns of Minnesota Inc
- Heartland Center of Natural Healing, PLLC
- Heartland Lakes Community School
All providers in Park Rapids, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2018. 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.