Lisa Marie Williams, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP 4224 Issued in MN

Practice address

400 E 1St St
Morris, MN 56267-1408

Phone

(320) 589-1313

Fax

(320) 589-1064

NPI assigned

Aug 24, 2015

Last updated

Apr 23, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN, OR, WA3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breath of Life Health Care PLLCGroup PAC ID 9032472162, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.williamsfnp.p95@direct.kootenai.nextgenshare.com
• Direct secure messaging: lwilliams290359@direct.centracare.com

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

• Breath of Life Sleep Medicine PC

  • Sleep Medicine (Family Medicine) Physician
  • Coeur d'Alene, ID
  • NPI 1144720061

  WA

  Medicare reassignment Care Compare group NPD
• New Kingdom Pediatrics LLC

  • Clinic/Center
  • Eden Prairie, MN
  • NPI 1760816045
  Medicare reassignment NPD
• Stevens Community Medical Center Inc

  • Critical Access Hospital
  • Morris, MN
  • NPI 1487678942
  Medicare reassignment NPD
• Stevens Community Medical Center Inc.

  dba Starbuck Clinic

  • Clinic/Center
  • Starbuck, MN
  • NPI 1417105552
  Medicare reassignment NPD
• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Medicare reassignment NPD
• Stevens Community Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Morris, MN
  • NPI 1366543662
  NPD
• Stevens Community Medical Center Inc

  dba Stevens Community Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Morris, MN
  • NPI 1649705690
  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1679042188
  NPD
• Sky Lakes Medical Center Inc

  dba Sky Lakes Specialty Pharmacy

  • Community/Retail Pharmacy
  • Klamath Falls, OR
  • NPI 1003654625
  NPD
• Axness Chiropractic PLLC

  dba Axness Chiropractic Massage and Wellness

  • Chiropractor
  • Baxter, MN
  • NPI 1013273416
  NPD (past)

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1952778086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 MANCHESTER DR # MS 21110Q",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-1313",
            "fax_number": "320-589-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4848 County Road 101",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553452635",
            "country_code": "US",
            "telephone_number": "952-401-3830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 1st St S",
            "address_purpose": "LOCATION",
            "city": "Sauk Rapids",
            "state": "MN",
            "postal_code": "56379",
            "country_code": "US",
            "telephone_number": "320-253-5220",
            "fax_number": "320-203-2414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 E 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013538",
            "country_code": "US",
            "telephone_number": "541-393-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Arnold Wanner, M.D,
• Olyn R Wernsing, MD
• West Central Internal Medicine (Prairie Medical Associates)
• West Central Smiles PA
• West Wind Village (Home Care Service Options of Morris)
• Kevin Paul Williamson, D.D.S.
• Jackie Marie Wilt, PHARM.D
• Winmar Diagnostics North Central
• Christopher Dean Wolner, D.C.

• Family Nurse Practitioner in Morris, MN
• Providers in Morris, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.
• Medicare Care Compare (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.