LISA M VOLLMER (MD) – Addiction Medicine (Family Medicine) Physician, NPI 1558324780

LISA M VOLLMER (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE, ADDICTION MEDICINE. They hold the professional credentials MD. They hold a License No. 41270 (MN). The NPI Number for LISA M VOLLMER (MD) is 1558324780

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
LISA M VOLLMER (MD)
NPI
1558324780
Phone
(612) 964-1494
Address
910 W 32ND ST
Enumeration Date
10 April 2006
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
6126727422
Graduation Year
1997 (29 years ago)
PAC ID
1951355130
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20050310000321
Address ID
MN554550363MI500XXSEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for LISA M VOLLMER (MD)

  • 910, West 32nd Street, South Uptown, Uptown, Bde Maka Ska-Isles, Minneapolis, Hennepin County, Minnesota, 55408, United States

    MINNEAPOLIS, MN 554083552

    Phone: (612) 964-1494

    Type: Mailing

  • Smith Avenue North, West Seventh - Fort Road, Saint Paul, Ramsey County, Minnesota, 55102, United States

    STE 600

    SAINT PAUL, MN 551022424

    Phone: (651) 241-7246

    Fax: (651) 241-7272

    Type: Location

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: 2005-03-10

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
I20050310000321IFamily PracticeMNTBD

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 55408)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What identifier follows LISA M VOLLMER (MD) across health systems?
The NPI 1558324780 uniquely identifies LISA M VOLLMER (MD) in U.S. healthcare data.
Is LISA M VOLLMER (MD)'s NPI status active today?
Active status means LISA M VOLLMER (MD)'s NPI record is not deactivated in the public file.
What type of care does LISA M VOLLMER (MD) provide?
LISA M VOLLMER (MD)'s profile centers on Addiction Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is LISA M VOLLMER (MD) tied to Minneapolis, Minnesota?
If you are local to Minneapolis, Minnesota, LISA M VOLLMER (MD) may be relevant to your search.
Who maintains LISA M VOLLMER (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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