Provider Profile
Lisa J. Liedke, APNP is a nurse practitioner practicing in Fond Du Lac, WI. According to Medicare claims data, Lisa cared for 150 Medicare patients across 166 services.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Source: NPPES NPI Registry
210 WISCONSIN AMERICAN DR
Fond Du Lac, WI 54937
166 services · 150 patients · 6 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Sarscov2 vac 50 mcg/0.5ml im | Treatment | 91322 |
12 |
| Admn sarscov2 vacc 1 dose | Treatment | 90480 |
12 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
54 |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
52 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
24 |
| Administration of influenza virus vaccine | Billing code | G0008 |
12 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Liedke is a nurse practitioner in Fond Du Lac, WI. This is the primary taxonomy recorded against the NPI in the federal registry, listed there as “NURSE PRACTITIONER”.
NPI registry
Dr. Liedke is listed at 210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (920) 907-7000. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. Liedke's National Provider Identifier is 1336783042. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Liedke attended Other, graduating in 2019. This comes from the CMS National Downloadable File.
CMS public data
Dr. Liedke has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Liedke provides treatments such as sarscov2 vac 50 mcg/0.5ml im and admn sarscov2 vacc 1 dose, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Liedke. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.