Ms Lisa Rae Hennen, APRN, CNP - Medicare Nurse Practitioner in Saint Cloud, MN

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Ms Lisa Rae Hennen, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Cloud, Minnesota. Her current practice location is 720 4th Ave S, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 308-3191.

Ms Lisa Rae Hennen is licensed to practice in Minnesota (license number 2121) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588644454.

Contact Information

Ms Lisa Rae Hennen, APRN, CNP
720 4th Ave S,
Saint Cloud, MN 56301-4498
(320) 308-3191
(320) 308-3192

Map and Direction




Provider's Profile

Full NameMs Lisa Rae Hennen
GenderFemale
SpecialityNurse Practitioner - Family
Location720 4th Ave S, Saint Cloud, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588644454
  • Provider Enumeration Date: 01/18/2006
  • Last Update Date: 07/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971407578
  • Enrollment ID: I20031125000370

Medical Identifiers

Medical identifiers for Ms Lisa Rae Hennen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588644454NPI-NPPES
862953600MedicaidMN
P00221874OtherMNRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2121 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Lisa Rae Hennen allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415974
PECOS PAC ID: 8224948443
Enrollment ID: O20031119000468

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. Ms Lisa Rae Hennen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Lisa Rae Hennen, APRN, CNP
720 4th Ave S,
Saint Cloud, MN 56301-4442

Ph: (320) 308-3191		Ms Lisa Rae Hennen, APRN, CNP
720 4th Ave S,
Saint Cloud, MN 56301-4498

Ph: (320) 308-3191

Reviews and Comments


Nurse Practitioner Nurses in Saint Cloud, MN

Angela Dorothy Moscho, APRN
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Phone: 320-252-1670    Fax: 320-255-6378
Mandy Fay Krippner, APRN, CNP
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Lindsey Beckman,
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Kristen J Heffern, ARNP
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Practice Location: 1301 33rd St S, Saint Cloud, MN 56301
Phone: 320-251-8181    Fax: 320-257-1733
Naomi Maangi,
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Phone: 320-202-1909    
Jessica Hollenkamp, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-252-5131    
Rebecca Kastanek, APRN, CNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1406 6th Ave N, Rehabilitation Services St.cloud Hospital, Saint Cloud, MN 56303
Phone: 320-255-5740    Fax: 320-656-7155

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.