LISA MALMO – Nurse Practitioner, NPI 1013305481

LISA MALMO is a healthcare provider. based in La crosse, Wisconsin. specializing in NURSE PRACTITIONER. They hold a License No. 170717 (WI). The NPI Number for LISA MALMO is 1013305481

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LISA MALMO
NPI
1013305481
Phone
(608) 785-0940
Address
700 WEST AVE S
Enumeration Date
7 January 2015
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087850940
Graduation Year
2014 (12 years ago)
PAC ID
4688994510
Group Practice PAC ID
0345152443
Professional Enrollment ID
I20150518000343
Address ID
WI546014783LA700XXSXXX400
Telehealth
Yes

Contacts

Secure Messaging
lmalmo26669@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness95
Years active:11State licenses:1Other names

6,033 NURSE PRACTITIONER in WI

Provider Addresses for LISA MALMO

  • 700 WEST AVE S

    LA CROSSE, WI 546014783

    Phone: (608) 785-0940

    Type: Location

  • PO BOX 1510

    EAU CLAIRE, WI 547021510

    Phone: (715) 838-5222

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (608) 785-0940

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $733.

Total Amount is formed as General ($733) + Research ($0) + Ownership ($0) = $733.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($125).

Total Amount

$733

General + Research + Ownership

Payments

7

Total payment records

General Amount

$733

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-05-18

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
I20150518000343INurse PractitionerWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes135108$0
99213Established patient office or other outpatient visit, 20-29 minutes4443$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 0345152443View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Family PracticeWI
Family PracticeWI
-WI
-MN
-MN
U R O L O G YWI
Physician AssistantMN
Emergency MedicineMN

Reviews

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Frequently asked questions

What federal number belongs to LISA MALMO?
The federal identifier for LISA MALMO is NPI 1013305481.
Is LISA MALMO's NPI currently valid?
The extract we use shows LISA MALMO as active.
Can you summarize LISA MALMO's specialty in plain language?
Clinically, the directory lists LISA MALMO with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for LISA MALMO?
The page summarizes La Crosse, Wisconsin for LISA MALMO; expand the address list for detail.
Is LISA MALMO a real provider?
This page reflects official NPPES data for NPI 1013305481. Always confirm identity and privileges with the practice and licensing boards.

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