Renee Leisen, FNP-C in Champlin, MN - Medicare Nurse Practitioner

Renee Leisen, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Champlin, Minnesota. Her current practice location is 12142 Business Park Blvd N, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 977-0500.

Renee Leisen is licensed to practice in Minnesota (license number 9595) 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 1336872498.

Contact Information

	Renee Leisen, FNP-C
	12142 Business Park Blvd N, Champlin, MN 55316-4525
	(952) 977-0500
	Not Available

Map and Direction

Provider's Profile

Full Name	Renee Leisen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12142 Business Park Blvd N, Champlin, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336872498
Provider Enumeration Date: 07/06/2022
Last Update Date: 11/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5395112676
Enrollment ID: I20221028001437

Medical Identifiers

Medical identifiers for Renee Leisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336872498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2015284 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	9595 (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. Renee Leisen allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Renee Leisen 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 Address	Practice Location Address
Renee Leisen, FNP-C 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Renee Leisen, FNP-C 12142 Business Park Blvd N, Champlin, MN 55316-4525 Ph: (952) 977-0500

Reviews and Comments

Nurse Practitioner Nurses in Champlin, MN

Mrs. Olitha Jamesetta Fofana, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10911 Rhode Island Cir N, Champlin, MN 55316 Phone: 763-493-2947
Prince Nde Aloh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600
Holly M Jensrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-0790
Stone Hamabwe Kabwe, CNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500
Janet M Siciliano, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 612-427-9620 Fax: 612-247-9626
Mrs. Amy Rasmussen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N Fl 1, Champlin, MN 55316 Phone: 651-503-1994
Micah Nicole Vande Vegte, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 E River Pkwy Unit 428, Champlin, MN 55316 Phone: 712-395-8621

Renee Leisen, FNP-C - Medicare Nurse Practitioner in Champlin, MN