Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa B Newcomer, CNP

Individual provider Pain Medicine Physician · NPI 1326376096

Lisa B Newcomer, CNP is a Nurse Practitioner in Maple Grove, Minnesota. Qualified in 2009, 17 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

9550 Upland Ln N Ste 100
Maple Grove, MN 55369-4481
Phone: (763) 537-6000
Fax: (763) 537-6666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1075 (MN)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 1075 (MN)

Record details

NPI number1326376096
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedNovember 18, 2009
Last updated in NPPESFebruary 13, 2019
Mailing address2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare