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Patrick Fischer Nusbaum

Counselor - Professional β€’ Saint Cloud, MN

Active NPI 1093336364 Individual Practitioner Male Practitioner
Practice location in NPPES

108 Doctors Park
Saint Cloud, MN 563031207

Call 3207743915 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

108 Doctors Park

Saint Cloud, MN 563031207

Telephone 3207743915
Fax 3207743918
Organization at the Same NPPES Address or Phone
Northway Academy, Inc. Facility NPI 1104333715

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Sartell, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Patrick Nusbaum as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Saint Cloud and Minnesota

29 active clinicians are listed under Counselor - Professional with a practice address in Saint Cloud, MN (2,407 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

10.3% of these 29 clinicians have the CMS telehealth indicator.

24.1% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES CO 0023392
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MN 5064
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

205 14th Ave E

Sartell, MN 563774500

Phone: 3207743436

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2026

Counselor (license number reported to NPPES: CO 0023392)

βœ…
NPI Profile Active April 28, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 28, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

πŸ“
Business Mailing Address (Initial Record) April 28, 2020

Registered at 108 DOCTORS PARK, SAINT CLOUD, MN 563031207 (Tel: 3207743915)

πŸ‘€
Provider Name / Credentials (Initial Record) April 28, 2020

Recorded as PATRICK NUSBAUM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2020

Behavior Technician

🟒
Initial NPI Registration & Enumeration April 28, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093336364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2020
Last Update: August 03, 2026
Sole Proprietor: No

Mailing Address

108 Doctors Park

Saint Cloud, MN 563031207

Phone: 3207743915

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.