Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376586792 Individual Practitioner Female Practitioner

Lisa Bordeaux , CNP

Nurse Practitioner • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Lisa Bordeaux, CNP is a registered healthcare professional specializing in Nurse Practitioner in Minneapolis, MN. Practice services are available at 4040 COON RAPIDS BLVD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4040 Coon Rapids Blvd Nw
Suite 120

Minneapolis, MN 554332522

Telephone 7634279980
Fax 7634279908
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
300 Specialists

Practicing in Minneapolis, MN (2609 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 3228

(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

NUCC Taxonomy Code: 363L00000X

State License MN R1222515

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
771170100 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Ashlee Taylor , PA-C

Physician Assistant

NPI 1003189507

Physician Assistant (Certified)

Dr. Mark Kraemer , MD

Internal Medicine - Cardiovascular Disease

NPI 1023050036

Doctor of Medicine (M.D.)

Dr. Jordan Brewster , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1023282423

Doctor of Medicine (M.D.)

Dr. Margo Tolins-Mejia , MD

Internal Medicine - Cardiovascular Disease

NPI 1033156450

Doctor of Medicine (M.D.)

Dr. Randall Stark , MD

Internal Medicine - Cardiovascular Disease

NPI 1073556593

Doctor of Medicine (M.D.)

Rachel Bethke , AGNP-C

Nurse Practitioner

NPI 1083191316

Adult-Gerontology Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4040 COON RAPIDS BLVD NW, SUITE 120, MINNEAPOLIS, MN 554332522 (Tel: 7634279980)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4040 COON RAPIDS BLVD NW, SUITE 120, MINNEAPOLIS, MN 554332522 (Tel: 7634279980)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LISA BORDEAUX, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #R1222515 in MN)

🟢
Initial NPI Registration & Enumeration June 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Lisa Bordeaux. Be the first to share your experience!

Sign in to leave a review for Lisa Bordeaux

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376586792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2006
Last Update: June 17, 2019
Sole Proprietor: No

Mailing Address

4040 Coon Rapids Blvd Nw, Suite 120

Minneapolis, MN 554332522

Phone: 7634279980

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.