LISA MARIE BURKHALTER (NP) – Occupational Health Nurse Practitioner, NPI 1235887985

LISA MARIE BURKHALTER (NP) is a healthcare provider. based in Winona, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 11547 (WI). The NPI Number for LISA MARIE BURKHALTER (NP) is 1235887985

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE BURKHALTER (NP)
NPI
1235887985
Phone
(507) 457-3650
Address
855 MANKATO AVE
Enumeration Date
11 March 2022
Last Update Date
15 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5074543650
Graduation Year
2020 (6 years ago)
PAC ID
2860870714
Group Practice PAC ID
8527977420
Professional Enrollment ID
I20220604000221
Address ID
MN559874868WI855XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for LISA MARIE BURKHALTER (NP)

  • 855 MANKATO AVE

    WINONA, MN 559874868

    Phone: (507) 457-3650

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220604000221INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55987)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527977420View full group profile
NameSpecialtyState
Physician AssistantMN
Cardiovascular Disease (Cardiology)IL
U R O L O G YWI
-MN
Emergency MedicineMN
O P T O M E T R YMN
Nurse PractitionerWI
Physician AssistantMN
Nurse PractitionerWI
Internal MedicineMN

Reviews

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Frequently asked questions

What is LISA MARIE BURKHALTER (NP)'s NPI number?
LISA MARIE BURKHALTER (NP)'s NPI is 1235887985 — the number used across U.S. healthcare to identify this provider.
Is there an active status for LISA MARIE BURKHALTER (NP)?
For scheduling context, LISA MARIE BURKHALTER (NP) is shown as active in the registry.
What clinical focus is listed for LISA MARIE BURKHALTER (NP)?
At a glance, LISA MARIE BURKHALTER (NP) is tied to Occupational Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LISA MARIE BURKHALTER (NP) associated with Winona?
Public fields place LISA MARIE BURKHALTER (NP) around Winona, Minnesota. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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