LESA JO THIELKE (APRN, FNP-C) – Family Nurse Practitioner, NPI 1255041703

LESA JO THIELKE (APRN, FNP-C) is a healthcare provider. based in Appleton, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 9759 (MN). The NPI Number for LESA JO THIELKE (APRN, FNP-C) is 1255041703

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LESA JO THIELKE (APRN, FNP-C)
NPI
1255041703
Phone
(320) 289-1580
Address
30 S BEHL ST
Enumeration Date
24 November 2022
Last Update Date
24 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
5698148765
Group Practice PAC ID
7618952565
Professional Enrollment ID
I20230310001799
Address ID
MN562081213AP323XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for LESA JO THIELKE (APRN, FNP-C)

  • 30 S BEHL ST

    APPLETON, MN 562081616

    Phone: (320) 289-1580

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-09-11 • Largest payer in this snapshot: Cepheid ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Cepheid$29
View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-10

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
I20230310001799INurse 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 56208)

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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: 7618952565View full group profile
NameSpecialtyState
Mental Health CounselorMN
Nurse PractitionerMN
Marriage And Family TherapistMN
-MN
Family PracticeND
Clinical PsychologistMN
Hand Surgery, Orthopedic SurgeryMN
Nurse PractitionerMN
U R O L O G YND
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the standard ID for LESA JO THIELKE (APRN, FNP-C) in the U.S.?
In the U.S., LESA JO THIELKE (APRN, FNP-C) is identified by NPI 1255041703.
Should I treat LESA JO THIELKE (APRN, FNP-C) as an active provider?
Patients and plans typically see LESA JO THIELKE (APRN, FNP-C) as active in the national extract.
What services align with LESA JO THIELKE (APRN, FNP-C)'s listing?
LESA JO THIELKE (APRN, FNP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LESA JO THIELKE (APRN, FNP-C)?
LESA JO THIELKE (APRN, FNP-C) is associated with Appleton, Minnesota in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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