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Active NPI 1336872498 Individual Practitioner Female Practitioner

Renee Sara Leisen Fisher , FNP-C

Nurse Practitioner • Champlin, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Renee Leisen Fisher, FNP-C is a certified Nurse Practitioner practicing in Champlin, MN. With approximately 4 years of clinical experience since completing medical education in 2022, Renee Leisen Fisher delivers high-quality medical care to the local community at 12142 BUSINESS PARK BLVD N.

Renee Leisen Fisher is affiliated with Park Nicollet Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12142 Business Park Blvd N

Champlin, MN 553164525

Telephone 9529770500
Associated Practice Facility / Clinic
🏢 Group Health Plan, Inc Facility NPI 1548802317

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Champlin, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs +0.7 yrs vs City Avg
City Avg: 3.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Champlin, MN (2609 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Leisen Fisher (4 Years) 4 Yrs
Champlin Specialty Average (3.3 Years) 3.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
16 14 $287.30 $74.80

Medical Specialties & State Licenses

CMS Verified: 2025-12-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 9595

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MN 9595

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MN 2015284

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Park Nicollet Clinic

12142 Business Park Blvd N, Champlin, MN 553164525

Phone: 9529770500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Kristine Gehrmann , PA-C

Physician Assistant

NPI 1023364296

Physician Assistant (Certified)

NPI 1174269815

Doctor of Medicine (M.D.)

Dr. Glen Carlson , MD

Internal Medicine

NPI 1245217231

Doctor of Medicine (M.D.)

Dr. John Apostol , MD

Family Medicine

NPI 1245292655

Doctor of Medicine (M.D.)

NPI 1376298141

Certified Nurse Practitioner, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1508122334

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated December 05, 2025

Recorded as RENEE LEISEN FISHER, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2025

Nurse Practitioner (License #9595 in MN)

📍
Updated Business Mailing Address November 03, 2022

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

NPI Profile Active July 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2022

Registered at 12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 553164525 (Tel: 9529770500)

📍
Updated Business Mailing Address July 06, 2022

Registered at 878 ORIOLE LN, CHASKA, MN 553181133 (Tel: 9523001672)

👤
Provider Name / Credentials Updated July 06, 2022

Recorded as RENEE LEISEN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2022

Registered Nurse (License #2015284 in MN)

🟢
Initial NPI Registration & Enumeration July 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336872498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2022
Last Update: December 05, 2025
Sole Proprietor: No

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.