MRS. LISA MARIE ERTMAN (CNP) – Primary Care Nurse Practitioner, NPI 1508573288
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MRS. LISA MARIE ERTMAN (CNP)
410 DOWNTOWN PLZ
FAIRMONT, MN 560311714
Phone: (507) 399-2100
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 15 Open Payments records for all available years, with a total value of $252.
Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Novo Nordisk Inc ($32).
Total Amount
$252
General + Research + Ownership
Payments
15
Total payment records
General Amount
$252
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $32 |
| Dexcom, Inc. | $25 |
| Tempus AI, Inc | $22 |
| PFIZER INC. | $21 |
| Teva Pharmaceuticals USA, Inc. | $19 |
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: 2022-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221213000785 | I | Nurse Practitioner | MN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 93 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 58 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 43 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 48 | 37 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 46 | 39 | $0 |
Insurance plans in this area (ZIP 56031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN |
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