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

Lisa Renee Thielke, APRN, CNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1699461095

Lisa Renee Thielke, APRN, CNP, PMHNP-BC is a Nurse Practitioner in Willmar, Minnesota. Qualified in 2021, 5 years ago. Practices with Modern Mojo, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1708 1st St S
Willmar, MN 56201-4228
Phone: (218) 999-7750
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10088 (MN)

Record details

NPI number1699461095
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Modern Mojo — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Willmar