Active NPI 1114717295 Individual Practitioner Female Practitioner

Lisa Michele King

Peer Specialist • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Lisa King is a registered healthcare professional specializing in Peer Specialist in Saint Cloud, MN. Practice services are available at 3701 12TH ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3701 12th St N

Saint Cloud, MN 563032255

Telephone 7636003250

Associated Practice Facility / Clinic

🏢 North Central Pathology Pa Facility NPI 1962449330

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Saint Cloud, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Saint Cloud, MN (55 Statewide)

Telehealth Adoption Rate

0.0% 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

CMS Verified: 2025-05-11

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

36 Associated Practitioners

Craig Tangen

Nurse Anesthetist, Certified Registered

NPI 1003264441

Kimberly Huschle

Nurse Anesthetist, Certified Registered

NPI 1003283102

Clint Sauer , LMFT

Marriage & Family Therapist

NPI 1003360355

Licensed Marriage and Family Therapist

Dr. Henry Yang , MD

Plastic Surgery

NPI 1003863366

Doctor of Medicine (M.D.)

Kayla Elwood

Nurse Anesthetist, Certified Registered

NPI 1023358546

Julie Zupfer Anderson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073895330

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 12, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location May 12, 2025

Registered at 3701 12TH ST N, SAINT CLOUD, MN 563032255 (Tel: 7636003250)

📍

Updated Business Mailing Address May 12, 2025

Registered at PO BOX 25, PRINCETON, MN 553710025 (Tel: 7636003250)

👤

Provider Name / Credentials Updated May 12, 2025

Recorded as LISA KING

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2025

Peer Specialist

🟢

Initial NPI Registration & Enumeration May 12, 2025

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: 1114717295

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 12, 2025

Last Update: May 12, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 25

Princeton, MN 553710025

Phone: 7636003250

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.