Lisa Jo Liedke , APNP
Nurse Practitioner • Fond Du Lac, WI
Professional Overview & Biography Verified Profile Summary
Lisa Liedke, APNP is a certified Nurse Practitioner practicing in Fond Du Lac, WI. With approximately 7 years of clinical experience since completing medical education in 2019, Lisa Liedke delivers high-quality medical care to the local community at 210 WISCONSIN AMERICAN DR.
Lisa Liedke is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.
Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, admn sarscov2 vacc 1 dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
210 Wisconsin American Dr
Fond Du Lac, WI 549372999
Medicare Profile & Education
Other
2019
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Fond Du Lac, WI
Practicing in Fond Du Lac, WI (4030 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
54 | 43 | $515.00 | $101.23 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
52 | 47 | $350.00 | $69.55 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
24 | 24 | $360.00 | $95.00 |
|
90480
Admn sarscov2 vacc 1 dose
|
12 | 12 | $90.00 | $37.18 |
|
91322
Sarscov2 vac 50 mcg/0.5ml im
|
12 | 12 | $250.00 | $140.08 |
|
G0008
Administration of influenza virus vaccine
|
12 | 12 | $65.00 | $30.42 |
Medical Specialties & State Licenses
CMS Verified: 2025-11-25NUCC Taxonomy Code: 363L00000X
(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.
NUCC Taxonomy Code: 363LX0106X
Definition to come...
Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Aurora Medical Group, Inc.
210 Wisconsin American Dr, Fond Du Lac, WI 549372999
Phone: 9209074800
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner
APNPFNP
Nurse Practitioner
Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)
Registered at 210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 549372999 (Tel: 9209077000)
Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843
Recorded as LISA LIEDKE, APNP
NPI status registered as active in NPPES database
Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209265666)
Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209265666)
Recorded as LISA LIEDKE
Nurse Practitioner (License #9728 in WI)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
Po Box 735044
Chicago, IL 606735044
Phone: 8003262250
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