Lisa Mix, RN CCM is a
Registered Nurse - Case Management based in Harris, Minnesota. Lisa Mix is licensed to practice in Minnesota (license number R141093-2) and her current practice location is
55 454th Blvd, Harris, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 334-5671.
NPI number for Lisa Mix is 1427703578 and her current mailing address is 1391 Nw 136th Ave, Sunrise, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427703578.
Provider's Profile
Full Name | Lisa Mix |
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Gender | Female |
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Speciality | Registered Nurse - Case Management |
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Location | 55 454th Blvd, Harris, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427703578
- Provider Enumeration Date: 02/17/2022
- Last Update Date: 02/17/2022
Medical Identifiers
Medical identifiers for Lisa Mix such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427703578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0400X | Registered Nurse - Case Management | 4241198 (Minnesota) | Secondary |
163WC0400X | Registered Nurse - Case Management | 221730-30 (Wisconsin) | Secondary |
163WC0400X | Registered Nurse - Case Management | R141093-2 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Mix is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Mix, RN CCM 1391 Nw 136th Ave, Sunrise, FL 33323-2800 Ph: (612) 400-4652 | Lisa Mix, RN CCM 55 454th Blvd, Harris, MN 55032-4000 Ph: (651) 334-5671 |
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